Provider Demographics
NPI:1164528766
Name:ACHIEVE SPEECH AND LANGUAGE SERVICES PLLC
Entity Type:Organization
Organization Name:ACHIEVE SPEECH AND LANGUAGE SERVICES PLLC
Other - Org Name:ACHIEVE SPEECH & LANGUAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:K
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:CCC SLP
Authorized Official - Phone:281-812-9519
Mailing Address - Street 1:19100 W LAKE HOUSTON PKWY
Mailing Address - Street 2:STE 104
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2564
Mailing Address - Country:US
Mailing Address - Phone:281-812-9519
Mailing Address - Fax:281-812-5719
Practice Address - Street 1:19100 W LAKE HOUSTON PKWY
Practice Address - Street 2:STE 104
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2564
Practice Address - Country:US
Practice Address - Phone:281-812-9519
Practice Address - Fax:281-812-5719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101482235Z00000X
TX101544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101482OtherSTATE BOARD EXAMINER SLP
TX101544OtherSTATE BOARD EXAMINER SLP
TX101482OtherSTATE BOARD EXAMINER SLP
TX87541TMedicare UPIN