Provider Demographics
NPI:1275711624
Name:SHAW, TONI ROCHELLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:ROCHELLE
Last Name:SHAW
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14911 SIERRA SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4263
Mailing Address - Country:US
Mailing Address - Phone:713-203-5660
Mailing Address - Fax:832-243-4834
Practice Address - Street 1:14911 SIERRA SUNSET DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396
Practice Address - Country:US
Practice Address - Phone:713-203-5660
Practice Address - Fax:832-243-4834
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100623235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist