Doctor Name: | JESSICA M SLATER |
NPI Number: | 1053631507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 105756 |
Business Practice Address: | 7002 Riverbrook Dr Suite 500 Sugar Land, TX - 774796530 |
Business Phone Number: | 2813437125 |
Business Fax Number: | |
Mailing Address: | 807 Blue Willow Dr, HOUSTON |
State: | TX |
Postal Code: | 770421401 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/07/2010 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |