Identify Assess and Treat Speech and Language Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105347 Issued in TX

Legal business name

IDENTIFY ASSESS AND TREAT SPEECH AND LANGUAGE SERVICES

Practice address

13930 Sutton Glen LN
Houston, TX 77047-7544

Phone

(713) 283-1753

NPI assigned

May 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kashonda Bowie-Clophus, CCC-SLP

Title

Speech Language Pathologist

Phone

(713) 870-9626

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1295172393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 SUTTON GLEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770477544",
            "telephone_number": "713-283-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 SUTTON GLEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770477544",
            "telephone_number": "713-283-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTIFY ASSESS AND TREAT SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "BOWIE-CLOPHUS",
        "authorized_official_first_name": "KASHONDA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "713-870-9626",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.