| Organization Name: | SANDRA A MADER PC |
| NPI Number: | 1821271230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA ANN MADER (PRESIDENT) |
| Mailing Address: | 1001 Louisiana Ave Suite 402 Corpus Christi |
| State: | TX US |
| Postal Code: | 784042833 |
| Phone Number: | 3618530488 |
| Fax Number: | 3618530489 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 10731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |