Individual
CALYE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
(817) 480-8085
Mailing address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111148
TX
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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