Jaclyn N Harris, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Humble, TX
NPI 1306150065 · NPPES record last updated Aug 4, 2010
Key facts
- NPI
- 1306150065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 101608 (TX)
- Practice address
- 19100 W Lake Houston Pkwy Ste 104
Humble, TX 77346-5139 - Phone
- (281) 812-9519
- Fax
- (281) 812-5719
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101608 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Speech and Language Services PLLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101608 | TX | Yes |
Addresses
Primary practice location
19100 W Lake Houston Pkwy Ste 104
Humble, TX 77346-5139
Mailing address
17503 Bryce Manor LN
Humble, TX 77346-6216
Phone (281) 812-9519
Other providers in Humble, TX
- Tyra C Harrell
- Harris County Emergency Service District 46
- Harris County Hospital District
- Harris County Public Health & Environmental Services-Humble Clinic
- Christopher Andrew Harris
- Jennifer Harris
- Lashay Renee Harris
- Lydia Michelle Harris
- Richard B. Harris
- Wallace E. Harris II
All providers in Humble, 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 Aug 4, 2010. 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.