Stacie Lynette Henke, MS,CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Lake Jackson, TX

NPI

1962605774

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

19809 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-06-08

Last updated

2007-07-08