Provider Demographics
NPI:1831429364
Name:STRAWSER, THERESA LYNN (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:THERESA
Middle Name:LYNN
Last Name:STRAWSER
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 1:1075 STACEWOOD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-4138
Mailing Address - Country:US
Mailing Address - Phone:409-356-7878
Mailing Address - Fax:
Practice Address - Street 1:1075 STACEWOOD DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-4138
Practice Address - Country:US
Practice Address - Phone:409-356-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist