Doctor Name: | MS. GINA MARIE HOUSTON |
NPI Number: | 1730388075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA5665 |
Business Practice Address: | 8254 118th Ave N Lamperts Home Therapy Inc Suite 100 Largo, FL - 33773 |
Business Phone Number: | 7275415304 |
Business Fax Number: | |
Mailing Address: | 500 Meadow Sweet Circle, OSPREY |
State: | FM |
Postal Code: | 342298975 |
Phone Number: | 9419665090 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |