Provider Demographics
NPI:1710114467
Name:LIFETIME COMMUNICATION SOLUTIONS
Entity Type:Organization
Organization Name:LIFETIME COMMUNICATION SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NIELSEN-GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:832-689-8785
Mailing Address - Street 1:4401 MARINA ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2320
Mailing Address - Country:US
Mailing Address - Phone:832-689-8785
Mailing Address - Fax:
Practice Address - Street 1:4401 MARINA ST
Practice Address - Street 2:UNIT B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2320
Practice Address - Country:US
Practice Address - Phone:832-689-8785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty