Main Street Speech Therapy Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12931 Issued in TX

Legal business name

MAIN STREET SPEECH THERAPY CLINIC

Practice address

6622 N Main St
Houston, TX 77009-1036

Phone

(281) 650-4635

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Carlon Ann Eagan

Title

Speech Language Pathologist

Phone

(281) 650-4635

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy J Borne, SLP

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1083992366
  NPD (past)
• Amber Perez, SLP-MS-CCC

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1942588231
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1700071214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770091036",
            "telephone_number": "281-650-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770091036",
            "telephone_number": "281-650-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET SPEECH THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "CARLON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "281-650-4635"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Pharmacy Inc
• Main Street Pharmacy, LLC
• Main Street Physical Therapy Solutions
• Main Street Physical Therapy Solutions Inc
• Main Street Physicians Group PLLC
• Adam William Main, PA
• Rhiannon Main, D.O.
• Mainland American Sleep Diagnostic Center, Inc.
• Mainland OB/GYN
• Mainland Pathology Associates PA

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.