Provider Demographics
NPI:1710371919
Name:WILKENFELD SPEECH, LANGUAGE AND LEARNING CENTER LLP
Entity Type:Organization
Organization Name:WILKENFELD SPEECH, LANGUAGE AND LEARNING CENTER LLP
Other - Org Name:WILKENFELD SPEECH
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:713-522-4727
Mailing Address - Street 1:2524 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1434
Mailing Address - Country:US
Mailing Address - Phone:713-522-4727
Mailing Address - Fax:713-522-4828
Practice Address - Street 1:2524 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1434
Practice Address - Country:US
Practice Address - Phone:713-522-4727
Practice Address - Fax:713-522-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty