Yoshika Wakena Garner, M.ED., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Gibson, LA

NPI 1447447396 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1447447396
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
100633 (TX)
Practice address
5134 N Bayou Black Dr
Gibson, LA 70356-3126
Phone
(832) 732-8485
Fax
(985) 464-0111
NPI assigned
Sep 25, 2007
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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
100633TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100633 TX Yes

Addresses

Primary practice location

5134 N Bayou Black Dr
Gibson, LA 70356-3126

Mailing address

2800 Broadway St Ste C
#525
Pearland, TX 77581-9503
Phone (832) 736-8485

Other identifiers

IdentifierTypeStateIssuer
192975404MedicaidTX

Other names

  • Ms. Yoshika Wakena Williams Former name

Other providers in Gibson, LA

All providers in Gibson, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.