Provider Demographics
NPI:1558705350
Name:THERAPY TRENDS
Entity Type:Organization
Organization Name:THERAPY TRENDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:VICTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:281-392-1029
Mailing Address - Street 1:5127 TREVORS TRACE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4912
Mailing Address - Country:US
Mailing Address - Phone:281-392-1029
Mailing Address - Fax:832-683-4057
Practice Address - Street 1:5127 TREVORS TRACE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4912
Practice Address - Country:US
Practice Address - Phone:281-392-1029
Practice Address - Fax:832-683-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty