Individual
THERESA ANNE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
319 TEAL RIDGE HILLS DR, HENDERSON, NV 89014-7614
(702) 751-2193
Mailing address
PO BOX 50801, HENDERSON, NV 89016-0801
(702) 751-2193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1620
NV
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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