Provider Demographics
NPI:1578679510
Name:TEMPLETON, ELIZABETH KATHLEEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KATHLEEN
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:1280 MERIWETHER RANCH ROAD
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830
Mailing Address - Country:US
Mailing Address - Phone:432-364-2274
Mailing Address - Fax:
Practice Address - Street 1:1280 MERIWETHER RANCH ROAD
Practice Address - Street 2:
Practice Address - City:CALAMITY CREEK
Practice Address - State:TX
Practice Address - Zip Code:79830
Practice Address - Country:US
Practice Address - Phone:469-831-6241
Practice Address - Fax:972-612-2501
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX19677235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist