Provider Demographics
NPI:1659425486
Name:STONE, TAMARA E (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:E
Last Name:STONE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 KEVINCREST DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7160
Mailing Address - Country:US
Mailing Address - Phone:541-519-2882
Mailing Address - Fax:
Practice Address - Street 1:6804 KEVINCREST DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7160
Practice Address - Country:US
Practice Address - Phone:541-519-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist