Provider Demographics
NPI:1134453608
Name:RICHARDS, NATASHA (M ED CCC-SLP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:M ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 RIPPLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2006
Mailing Address - Country:US
Mailing Address - Phone:832-567-9316
Mailing Address - Fax:281-261-5902
Practice Address - Street 1:1835 RIPPLE CREEK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2006
Practice Address - Country:US
Practice Address - Phone:832-567-9316
Practice Address - Fax:281-261-5902
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist