Individual
AMBER LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4502 RIVERSTONE BLVD, SUITE 701, MISSOURI CITY, TX 77459-5204
(281) 969-5988
Mailing address
4502 RIVERSTONE BLVD, SUITE 701, MISSOURI CITY, TX 77459-5204
(281) 969-5988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109001
TX
Other
Enumeration date
04/03/2017
Last updated
04/11/2017
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