Provider Demographics
NPI:1871654491
Name:DUCKER, CLAIRE L (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:L
Last Name:DUCKER
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5112 LANSING DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745
Mailing Address - Country:US
Mailing Address - Phone:512-444-1431
Mailing Address - Fax:512-327-1545
Practice Address - Street 1:CENTRAL TEXAS SPEECH PATHOLOGY SERVICES
Practice Address - Street 2:2525 WALLINGWOOD BLDG 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-327-6175
Practice Address - Fax:512-327-1545
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011696235500000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist