Individual
MRS. CORRIE PHARES STANISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
25714 MILL POND LN, SPRING, TX 77373-3144
(832) 338-5120
Mailing address
25714 MILL POND LN, SPRING, TX 77373-3144
(832) 338-5120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102972
TX
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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