Doctor Name: | MS. MARJORIE ROSE ADRIAN |
NPI Number: | 1962764449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD CCC-SLP |
License Number: | 13338 |
Business Practice Address: | 16835 Deer Creek Dr Spring, TX - 773794968 |
Business Phone Number: | 2813564527 |
Business Fax Number: | |
Mailing Address: | 15934 Cottage Ivy Cir, TOMBALL |
State: | TX |
Postal Code: | 773772541 |
Phone Number: | 2812574270 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13338 |
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 |