Provider Demographics
NPI:1770861577
Name:FELCMAN, VANESSA CHAN (MACCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:CHAN
Last Name:FELCMAN
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16310 DESTREHAN DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6826
Mailing Address - Country:US
Mailing Address - Phone:281-788-5902
Mailing Address - Fax:
Practice Address - Street 1:1522 CASTLE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5706
Practice Address - Country:US
Practice Address - Phone:281-788-5902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist