Individual
MRS. KAY JOYCE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
85 NE LOOP 410, SUITE 209, SAN ANTONIO, TX 78216-5829
(210) 340-2627
(210) 340-6437
Mailing address
9555 AQUA VERDE, HELOTES, TX 78023-4130
(210) 340-2627
(210) 340-6437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4633
BLUE CROSS BLUE SHEILD ID
TX
Enumeration date
11/17/2006
Last updated
07/08/2007
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