Provider Demographics
NPI:1013312271
Name:UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
Entity Type:Organization
Organization Name:UNIVERSITY SPEECH, LANGUAGE AND HEARING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-743-2904
Mailing Address - Street 1:UNIVERSITY OF HOUSTON
Mailing Address - Street 2:100 CLINICAL RESEARCH SERVICES
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77204-6018
Mailing Address - Country:US
Mailing Address - Phone:713-743-0915
Mailing Address - Fax:713-743-2926
Practice Address - Street 1:UNIVERSITY OF HOUSTON
Practice Address - Street 2:100 CLINICAL RESEARCH SERVICES
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-6018
Practice Address - Country:US
Practice Address - Phone:713-743-0915
Practice Address - Fax:713-743-2926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF HOUSTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech