Provider Demographics
NPI:1184932816
Name:KNIGHT, MARY EILEEN (MSCCC/SLP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:EILEEN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17919 ZAGAR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1271
Mailing Address - Country:US
Mailing Address - Phone:281-433-0264
Mailing Address - Fax:
Practice Address - Street 1:17919 ZAGAR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1271
Practice Address - Country:US
Practice Address - Phone:281-433-0264
Practice Address - Fax:281-880-9887
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist