Stacy Renee Fonner
NPI #1750022182 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1750022182
- Entity Type
- Individual
- Name
- Stacy Renee Fonner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 7, 2022
- Last Updated
- Apr 7, 2022
Practice Location
- Address
- 310 CANNAN RD
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-4552
- Phone
- (830) 885-9516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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