Organization Name: | EXECUTIVE THERAPY & EDUCATIONAL SERVICES INC |
NPI Number: | 1558594614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRYSTAL PRATT (OWNER) |
Mailing Address: | 11601 Shadow Creek Pkwy 111-196 Pearland |
State: | TX US |
Postal Code: | 775847283 |
Phone Number: | 2817872422 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2009 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103798 |
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 |