Provider Demographics
NPI:1548415664
Name:FERGUSON, SHAYLA SIMON (MA,CCC-A)
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:SIMON
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MA,CCC-A
Other - Prefix:
Other - First Name:SHAYLA
Other - Middle Name:A
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9494 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:281-649-7000
Mailing Address - Fax:713-484-6649
Practice Address - Street 1:7789 SOUTHWEST FWY STE 470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1834
Practice Address - Country:US
Practice Address - Phone:281-649-7000
Practice Address - Fax:713-995-4720
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231HA2400X, 237600000X
TX51593231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter