Doctor Name: | MR. PHILLIP BRIAN SPENCER |
NPI Number: | 1902815202 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSCCC/SLP |
License Number: | 101754 |
Business Practice Address: | 400 W 14th Ave Amarillo, TX - 791014140 |
Business Phone Number: | 8063375016 |
Business Fax Number: | 8063375015 |
Mailing Address: | 400 W 14th Ave, AMARILLO |
State: | TX |
Postal Code: | 791014140 |
Phone Number: | 8063375016 |
Fax Number: | 8063375015 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101754 |
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 |