Provider Demographics
NPI:1154066413
Name:WARREN-JOSEPH, KECHIA VIRGINIA (CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:KECHIA
Middle Name:VIRGINIA
Last Name:WARREN-JOSEPH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 BADGER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-7414
Mailing Address - Country:US
Mailing Address - Phone:832-276-2022
Mailing Address - Fax:
Practice Address - Street 1:11000 ROSSLYN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-1222
Practice Address - Country:US
Practice Address - Phone:281-878-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14676235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist