Provider Demographics
NPI:1003066572
Name:PEARSON, BOBBI JO (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BOBBI JO
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 HIGHWAY 6
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4370
Mailing Address - Country:US
Mailing Address - Phone:281-403-2600
Mailing Address - Fax:281-403-2606
Practice Address - Street 1:6701 HIGHWAY 6
Practice Address - Street 2:SUITE 120
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4370
Practice Address - Country:US
Practice Address - Phone:281-403-2600
Practice Address - Fax:281-403-2606
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102008235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist