Provider Demographics
NPI:1952493496
Name:FERWORN, PAMELA DIXON (MSLP SLPC CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:DIXON
Last Name:FERWORN
Suffix:
Gender:F
Credentials:MSLP SLPC CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14403 TWISTED OAK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:281-870-8489
Mailing Address - Fax:
Practice Address - Street 1:19627 I-45 NORTH
Practice Address - Street 2:SUITE 105
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-288-1061
Practice Address - Fax:281-288-1081
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18623235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist