Provider Demographics
NPI:1467674366
Name:CORTEZ, PAULA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:M
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:M
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:6005 WESTVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055
Mailing Address - Country:US
Mailing Address - Phone:713-696-2130
Mailing Address - Fax:713-696-2133
Practice Address - Street 1:6005 WESTVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055
Practice Address - Country:US
Practice Address - Phone:713-696-2130
Practice Address - Fax:713-696-2133
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101647235Z00000X
TX235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist