Stephanie Renee Garland, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Van, TX

NPI 1124670567 · NPPES record last updated Jul 16, 2019

Key facts

NPI
1124670567
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
106137 (TX)
Practice address
104 N Oak St
Van, TX 75790-2682
Phone
(903) 638-3726
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
106137TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106137 TX Yes

Addresses

Primary practice location

104 N Oak St
Van, TX 75790-2682

Mailing address

104 N Oak St
Van, TX 75790-2682

Other identifiers

IdentifierTypeStateIssuer
106137OtherTXTEXAS STATE LICENSE SPEECH LANGUAGE PATHOLOGY

Other providers in Van, TX

All providers in Van, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.