Provider Demographics
NPI:1710931050
Name:CHARLIP, WALTER S (PHD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:S
Last Name:CHARLIP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15511 HEIMER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4542
Mailing Address - Country:US
Mailing Address - Phone:210-494-5860
Mailing Address - Fax:
Practice Address - Street 1:AUDIOLOGY CLINIC (126A) FTVAOPC
Practice Address - Street 2:5788 ECKHERT ROAD
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-699-2100
Practice Address - Fax:210-699-2260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50278231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist