Provider Demographics
NPI:1255831822
Name:ROUGEAU, BRIDGETTE (SLP-ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:BRIDGETTE
Middle Name:
Last Name:ROUGEAU
Suffix:
Gender:F
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12022 LEITRIM WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2941
Mailing Address - Country:US
Mailing Address - Phone:832-654-3554
Mailing Address - Fax:713-734-3554
Practice Address - Street 1:12022 LEITRIM WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2941
Practice Address - Country:US
Practice Address - Phone:832-654-3554
Practice Address - Fax:713-734-3554
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant