Provider Demographics
NPI:1891370581
Name:ONUOHA, AUDREY BIANCA
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:BIANCA
Last Name:ONUOHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 N PINTO POINT CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4396
Mailing Address - Country:US
Mailing Address - Phone:832-263-1229
Mailing Address - Fax:
Practice Address - Street 1:82 N PINTO POINT CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4396
Practice Address - Country:US
Practice Address - Phone:832-263-1229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX417462355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant