Mary W Houston, SLP
Individual provider Active NPI Speech-Language Pathologist · Sylvester, GA
NPI 1275844490 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1275844490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP003776 (GA)
- Practice address
- 807 S Isabella St
Sylvester, GA 31791-7554 - Phone
- (229) 776-6961
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP003776 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP003776 | GA | Yes |
Addresses
Primary practice location
807 S Isabella St
Sylvester, GA 31791-7554
Mailing address
605 N Westberry St
Sylvester, GA 31791-1741
Phone (229) 347-4729
Other providers in Sylvester, GA
- Kimberlee Floyd Gibbs
- Glenn'S Corner Pharmacy LLC
- Dana Gribbins
- Anthony Hall
- Tiffany Hett
- Albert Hugh Hudson
- Benjamin Hudson
- J. H. Harvey, Co., LLC
- Stephanie S Jackson
- Tyler Yvonne Jacobs
All providers in Sylvester, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. 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.