Provider Demographics
NPI:1235415415
Name:MCBEAN, CAREEM JEROME (MED, CCC/SLP)
Entity Type:Individual
Prefix:MR
First Name:CAREEM
Middle Name:JEROME
Last Name:MCBEAN
Suffix:
Gender:M
Credentials:MED, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 LOUETTA RD
Mailing Address - Street 2:#536
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1432
Mailing Address - Country:US
Mailing Address - Phone:832-454-1911
Mailing Address - Fax:
Practice Address - Street 1:11100 LOUETTA RD
Practice Address - Street 2:#536
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1432
Practice Address - Country:US
Practice Address - Phone:832-454-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist