Gilda Letrica Jack-Johnson, M. ED. CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Crosby, TX
NPI 1003556945 · NPPES record last updated Mar 30, 2022
Key facts
- NPI
- 1003556945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 17426 (TX)
- Practice address
- 16910 Gaff CT
Crosby, TX 77532-4426 - Phone
- (832) 622-4929
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17426 | TX | Yes |
Addresses
Primary practice location
16910 Gaff CT
Crosby, TX 77532-4426
Mailing address
16910 Gaff Court
Crosby, TX 77532
Phone (832) 622-4929
Other providers in Crosby, TX
- Pavalin L Howard
- Genever Rena Hubbitt
- Ic Eye Care, PC
- Marilyn J Ingram
- Isaiah Will Transport
- James B Wallace DDS Inc
- Jiries Suleiman Dahu MD PA
- JN Akshar PLLC
- Andrea Johnbaptiste
- Morgan Layne Johns
All providers in Crosby, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.