Individual
STACY MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 SOUTHAMPTON BLVD, GARLAND, TX 75043-7228
(972) 697-7882
Mailing address
4410 SOUTHAMPTON BLVD, GARLAND, TX 75043-7228
(972) 697-7882
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38560
TX
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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