Provider Demographics
NPI:1053488270
Name:GALATAS, ANGELA (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:GALATAS
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:GUIDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10470 N. GESSNER DR.
Mailing Address - Street 2:STE. 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:STE. 1800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-791-9363
Practice Address - Fax:713-795-0488
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171879301Medicaid