Provider Demographics
NPI:1518268754
Name:IJEH, PAMELA I (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:I
Last Name:IJEH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 S MASON RD STE 350
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3248
Mailing Address - Country:US
Mailing Address - Phone:713-471-9086
Mailing Address - Fax:832-554-9973
Practice Address - Street 1:7830 W GRAND PKWY S STE 270
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5818
Practice Address - Country:US
Practice Address - Phone:713-471-9086
Practice Address - Fax:832-554-9973
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105280235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist