Provider Demographics
NPI:1881933794
Name:HYAMS-BROTHMAN, GALITE ESTHER (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:GALITE
Middle Name:ESTHER
Last Name:HYAMS-BROTHMAN
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 1:6706 LAKEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5206
Mailing Address - Country:US
Mailing Address - Phone:214-402-5352
Mailing Address - Fax:
Practice Address - Street 1:6706 LAKEHURST AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5206
Practice Address - Country:US
Practice Address - Phone:214-402-5352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102708235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist