Individual
CORINA THEODOSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 N CAPITAL OF TEXAS HWY STE 250, AUSTIN, TX 78759-5977
(512) 887-2126
Mailing address
9901 N CAPITAL OF TEXAS HWY STE 250, AUSTIN, TX 78759-5977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116381
TX
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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