Provider Demographics
NPI:1437476827
Name:WASHINGTON, NEAH (ACA, BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:NEAH
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:ACA, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 E SONTERRA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4090
Mailing Address - Country:US
Mailing Address - Phone:210-334-0232
Mailing Address - Fax:210-334-0245
Practice Address - Street 1:250 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1044
Practice Address - Country:US
Practice Address - Phone:512-358-1397
Practice Address - Fax:512-382-1482
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80323237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist