Individual
AYESHA HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12710 RESEARCH BLVD STE 395, AUSTIN, TX 78759-4397
(512) 250-8706
Mailing address
12710 RESEARCH BLVD STE 395, AUSTIN, TX 78759-4397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111484
TX
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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