Provider Demographics
NPI:1619275062
Name:HOUK, RONALD R (MS CCC/LSP)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:R
Last Name:HOUK
Suffix:
Gender:M
Credentials:MS CCC/LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 REBECCA PARK
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1838
Mailing Address - Country:US
Mailing Address - Phone:716-474-3259
Mailing Address - Fax:
Practice Address - Street 1:36 REBECCA PARK
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1838
Practice Address - Country:US
Practice Address - Phone:716-474-3259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3248235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3248OtherOFFICE OF THE PROFESSIONS/SPEECH-LANGUAGE PATHOLOGIST