Provider Demographics
NPI:1730300153
Name:JOUDAH, SARY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:SARY
Middle Name:
Last Name:JOUDAH
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7880 SAN FELIPE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1631
Mailing Address - Country:US
Mailing Address - Phone:713-787-6600
Mailing Address - Fax:713-787-6601
Practice Address - Street 1:7880 SAN FELIPE ST STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1631
Practice Address - Country:US
Practice Address - Phone:713-787-6600
Practice Address - Fax:713-787-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist