Provider Demographics
NPI:1558435214
Name:STANTON, KAY JOYCE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:JOYCE
Last Name:STANTON
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:9555 AQUA VERDE
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4130
Mailing Address - Country:US
Mailing Address - Phone:210-340-2627
Mailing Address - Fax:210-340-6437
Practice Address - Street 1:85 NE LOOP 410
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5829
Practice Address - Country:US
Practice Address - Phone:210-340-2627
Practice Address - Fax:210-340-6437
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX16787225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4633OtherBLUE CROSS BLUE SHEILD ID