Provider Demographics
NPI:1851370712
Name:THE SPEECH CLINIC INC
Entity Type:Organization
Organization Name:THE SPEECH CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAUSAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAFAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC SLP
Authorized Official - Phone:281-579-1515
Mailing Address - Street 1:20501 KATY FREEWAY
Mailing Address - Street 2:THE SPEECH CLINIC INC STE 240
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1943
Mailing Address - Country:US
Mailing Address - Phone:281-579-1515
Mailing Address - Fax:281-579-1524
Practice Address - Street 1:20501 KATY FREEWAY
Practice Address - Street 2:STE 240
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1943
Practice Address - Country:US
Practice Address - Phone:281-579-1515
Practice Address - Fax:281-579-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14270235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty