Doctor Name: | MS. CHRIS ELLEN SIDOFF |
NPI Number: | 1992849566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 146005190 |
Business Practice Address: | 31320 Interstate 10 W Suite D Boerne, TX - 780065027 |
Business Phone Number: | 8307558853 |
Business Fax Number: | |
Mailing Address: | 15811 Ponderosa Pass, HELOTES |
State: | TX |
Postal Code: | 780233685 |
Phone Number: | 2106681484 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146005190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |