Center for Functional Communication PLLC

Organization Active NPI Speech-Language Pathologist · Fulshear, TX

NPI 1770731192 · NPPES record last updated Sep 18, 2020

Key facts

NPI
1770731192
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
19877 (TX)
Legal business name
CENTER FOR FUNCTIONAL COMMUNICATION PLLC
Practice address
32443 Waterford Crest LN
Fulshear, TX 77441-3003
Phone
(832) 563-3225
Fax
(281) 346-8090
NPI assigned
Aug 28, 2008
Organization subpart
No

Authorized official

Name
Elizabeth C Rodriguez, MA, CCC-SLP
Title
President
Phone
(832) 563-3225

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 19877 TX Yes

Addresses

Primary practice location

32443 Waterford Crest LN
Fulshear, TX 77441-3003

Mailing address

32443 Waterford Crest LN
Fulshear, TX 77441-3003
Phone (832) 563-3225

Other identifiers

IdentifierTypeStateIssuer
177729401MedicaidTX
1023113198OtherTXINDIVIDUAL TX NPI

Other providers in Fulshear, TX

All providers in Fulshear, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.