Provider Demographics
NPI:1598437253
Name:OWENS, SANDRA ZOE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ZOE
Last Name:OWENS
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14705 WOODFOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3258
Mailing Address - Country:US
Mailing Address - Phone:832-386-1000
Mailing Address - Fax:
Practice Address - Street 1:14310 DUNCANNON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2514
Practice Address - Country:US
Practice Address - Phone:832-386-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist