Individual
CHARLOTTE HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D.
Contact information
Practice address
3621 W SLAUGHTER LN APT 423, AUSTIN, TX 78749-5909
(704) 941-5067
Mailing address
3621 W SLAUGHTER LN APT 423, AUSTIN, TX 78749-5909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113767
TX
235Z00000X
Speech-Language Pathologist
7310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412576
—
NC
Enumeration date
01/31/2007
Last updated
01/05/2018
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