Individual
ALEY VARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
101 N COTTON SQ, LUFKIN, TX 75904-2925
(936) 465-8164
Mailing address
101 N COTTON SQ, LUFKIN, TX 75904-2925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111292
TX
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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