Provider Demographics
NPI:1700363280
Name:COMMUNICATION HELPERS OF SOUTH HOUSTON, INC
Entity Type:Organization
Organization Name:COMMUNICATION HELPERS OF SOUTH HOUSTON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP/L
Authorized Official - Phone:832-341-6786
Mailing Address - Street 1:1807 EAGLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-7890
Mailing Address - Country:US
Mailing Address - Phone:281-993-4476
Mailing Address - Fax:281-993-4476
Practice Address - Street 1:1807 EAGLE CREEK DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-7890
Practice Address - Country:US
Practice Address - Phone:281-993-4476
Practice Address - Fax:281-993-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103066OtherTEXAS DEPT OF LICENSING AND REGULATION
12080222OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION