Provider Demographics
NPI:1326760356
Name:FEEDING AND SWALLOWING SPECIALISTS OF THE WOODLANDS
Entity Type:Organization
Organization Name:FEEDING AND SWALLOWING SPECIALISTS OF THE WOODLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO, SLP
Authorized Official - Prefix:
Authorized Official - First Name:ANAIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VILLALUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, BCS-S
Authorized Official - Phone:713-820-0441
Mailing Address - Street 1:26400 KUYKENDAHL RD STE C180-405
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77375-2882
Mailing Address - Country:US
Mailing Address - Phone:713-820-0441
Mailing Address - Fax:
Practice Address - Street 1:70 FOOTBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77389-1583
Practice Address - Country:US
Practice Address - Phone:713-820-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & SwallowingGroup - Multi-Specialty