Individual
BROOK A STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11279 TAYLOR DRAPER LN, AUSTIN, TX 78759-2467
(512) 899-9707
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107734
TX
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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