Individual
MS. DARA JO WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4315 JAMES CASEY ST, SUITE 300, AUSTIN, TX 78745-3364
(512) 466-5013
Mailing address
9600 ESCARPMENT BLVD, 745-125, AUSTIN, TX 78749-1982
(512) 466-5013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103264
TX
Other
Enumeration date
07/10/2009
Last updated
10/05/2016
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