Provider Demographics
NPI:1457650178
Name:SPEECH TIME
Entity Type:Organization
Organization Name:SPEECH TIME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:281-685-9992
Mailing Address - Street 1:20827 FOX CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-6718
Mailing Address - Country:US
Mailing Address - Phone:281-685-9992
Mailing Address - Fax:281-913-5609
Practice Address - Street 1:20827 FOX CLIFF LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-6718
Practice Address - Country:US
Practice Address - Phone:281-685-9992
Practice Address - Fax:281-913-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101927251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174444302Medicaid