Provider Demographics
NPI:1093942096
Name:KANA, SASHA MARTIN (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:MARTIN
Last Name:KANA
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:18484 PRESTON RD
Mailing Address - Street 2:SUITE 102, PMB 156
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5400
Mailing Address - Country:US
Mailing Address - Phone:936-293-8800
Mailing Address - Fax:936-293-8841
Practice Address - Street 1:2100 SAM HOUSTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5182
Practice Address - Country:US
Practice Address - Phone:936-293-8800
Practice Address - Fax:936-293-8841
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12153529235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist