Most Relevant Information
Provider Data
| NPI Number: | 1003036336 |
| Provider Name: | ALAN BRETTE SOUTHARD M.S. SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 101265 |
Most Important Dates
| Enumeration Date: | 04/27/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1400 MAIN
AMHERST
TX
79312
Practice Location Phone/Fax
| Phone: | 8062463483 |
| Fax: | 8062463483 |
Provider Mailing Location
1100 MOCKINGBIRD LN
LITTLEFIELD
TX
793394712
Provider Mailing Phone/Fax
| Phone: | 8063857283 |
| Fax: |