Provider Demographics
NPI:1225305287
Name:TANGIBLE DIFFERENCE LEARNING CENTER, LLC
Entity Type:Organization
Organization Name:TANGIBLE DIFFERENCE LEARNING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KELI
Authorized Official - Middle Name:ROD
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:409-781-5855
Mailing Address - Street 1:7010 NW 100 DR
Mailing Address - Street 2:#A104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2052
Mailing Address - Country:US
Mailing Address - Phone:713-462-6060
Mailing Address - Fax:713-462-6066
Practice Address - Street 1:7010 NW 100 DR
Practice Address - Street 2:#A104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2052
Practice Address - Country:US
Practice Address - Phone:713-462-6060
Practice Address - Fax:713-462-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty