Provider Demographics
NPI:1538975495
Name:SORRELS, AUBURN TAELER (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:AUBURN
Middle Name:TAELER
Last Name:SORRELS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 MCKAY CT
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-8321
Mailing Address - Country:US
Mailing Address - Phone:806-683-3683
Mailing Address - Fax:
Practice Address - Street 1:6101 MCKAY CT
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-8321
Practice Address - Country:US
Practice Address - Phone:806-683-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122782235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist