Provider Demographics
NPI:1568026615
Name:SWALLOWING AND SPEECH SERVICES, PLLC
Entity Type:Organization
Organization Name:SWALLOWING AND SPEECH SERVICES, PLLC
Other - Org Name:SASS
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER, CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CITTY
Authorized Official - Suffix:
Authorized Official - Credentials:MS-CCC-SLP
Authorized Official - Phone:281-824-1000
Mailing Address - Street 1:617 COLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4903
Mailing Address - Country:US
Mailing Address - Phone:580-380-7182
Mailing Address - Fax:
Practice Address - Street 1:617 COLE ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4903
Practice Address - Country:US
Practice Address - Phone:281-824-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty