Doctor Name: | ANDRE JEAN FERRIERE |
NPI Number: | 1972920627 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP-CCC |
License Number: | 19018 |
Business Practice Address: | 312 W Burbank St Fredericksburg, TX - 786243306 |
Business Phone Number: | 8309552009 |
Business Fax Number: | |
Mailing Address: | 312 W Burbank St, FREDERICKSBURG |
State: | TX |
Postal Code: | 786243306 |
Phone Number: | 8309552009 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19018 |
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 |