Provider Demographics
NPI:1225538051
Name:TARWATER, ANNE (SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:TARWATER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1622
Mailing Address - Country:US
Mailing Address - Phone:830-331-8440
Mailing Address - Fax:830-331-1360
Practice Address - Street 1:616 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-1622
Practice Address - Country:US
Practice Address - Phone:830-331-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist