Dorothy Fern Ennis, BSE, Tx Lic. SLP
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1316153752
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1316153752
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dorothy Fern Ennis
- Credential
- BSE, Tx Lic. SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 13418 | TX | Yes |
Practice location
8632 Fredericksburg RdSuite 212
San Antonio, TX 78240-1264
Phone 210-696-5777 · Fax 505-468-9476
Mailing address
9406 ArboisSan Antonio, TX 78254-5818
Phone 210-681-3069
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