Individual
CLARISSA HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 LEANDER RD, GEORGETOWN, TX 78628-8804
(512) 943-5000
Mailing address
1601 LEANDER RD, GEORGETOWN, TX 78628-8804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065985601
—
TX
Enumeration date
11/15/2021
Last updated
11/15/2021
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