Provider Demographics
NPI:1003673641
Name:REACH FOR SPEECH LANGUAGE SERVICES LLC
Entity Type:Organization
Organization Name:REACH FOR SPEECH LANGUAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAIMAA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADBULY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:713-701-9577
Mailing Address - Street 1:1333 OLD SPANISH TRL STE APT 3110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1849
Mailing Address - Country:US
Mailing Address - Phone:713-701-9577
Mailing Address - Fax:
Practice Address - Street 1:1333 OLD SPANISH TRL STE APT 3110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1849
Practice Address - Country:US
Practice Address - Phone:713-701-9577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty