Healthcare Provider Details

I. General information

NPI: 1316250731
Provider Name (Legal Business Name): ELIZABETH WARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 SILVERHILL LN
AUSTIN TX
78759-7417
US

IV. Provider business mailing address

8708 SILVERHILL LN
AUSTIN TX
78759-7417
US

V. Phone/Fax

Practice location:
  • Phone: 512-565-2862
  • Fax: 512-342-1026
Mailing address:
  • Phone: 512-565-2862
  • Fax: 512-342-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number104612
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: