Provider Demographics
NPI:1134512049
Name:MERCHANT, HINA MOOSA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HINA
Middle Name:MOOSA
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 LITTLE MURRAY LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4880
Mailing Address - Country:US
Mailing Address - Phone:713-530-3392
Mailing Address - Fax:
Practice Address - Street 1:5440 ELKINS RD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4093
Practice Address - Country:US
Practice Address - Phone:281-634-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109842235Z00000X
MA9385235Z00000X
CA22392235Z00000X
MESP2380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist