Provider Demographics
NPI:1326454109
Name:MOLINSKY, DANA MARLENE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MARLENE
Last Name:MOLINSKY
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 1:5925 ALMEDA RD
Mailing Address - Street 2:APT 10806
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7602
Mailing Address - Country:US
Mailing Address - Phone:516-662-5592
Mailing Address - Fax:
Practice Address - Street 1:5925 ALMEDA RD
Practice Address - Street 2:APT 10806
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7602
Practice Address - Country:US
Practice Address - Phone:516-662-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108646235Z00000X
NY023540-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist