Provider Demographics
NPI:1760513337
Name:OSTERLOH, PATSY (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:
Last Name:OSTERLOH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3765 S. ALAMEDA, SUITE
Mailing Address - Street 2:320 COASTAL BEND SPEECH AND LANGUAGE ASSOCIATES
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1600
Mailing Address - Country:US
Mailing Address - Phone:361-814-4600
Mailing Address - Fax:361-814-4610
Practice Address - Street 1:3765 S ALAMEDA ST
Practice Address - Street 2:SUITE 320
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1643
Practice Address - Country:US
Practice Address - Phone:361-814-4600
Practice Address - Fax:361-814-4610
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10450235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist