Provider Demographics
NPI:1033579057
Name:DUNBAR, AFIYAH (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AFIYAH
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 WESTHEIMER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5597
Mailing Address - Country:US
Mailing Address - Phone:832-786-2924
Mailing Address - Fax:844-703-6267
Practice Address - Street 1:5100 WESTHEIMER RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:832-786-2924
Practice Address - Fax:844-703-6267
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114237235Z00000X
FLSA9601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist