Provider Demographics
NPI:1205275583
Name:WALSH, DEANA FLOWER (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DEANA
Middle Name:FLOWER
Last Name:WALSH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:DEANNA
Other - Middle Name:FLOWER
Other - Last Name:TURTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4123 PLACID ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-4127
Mailing Address - Country:US
Mailing Address - Phone:832-783-9545
Mailing Address - Fax:
Practice Address - Street 1:5757 WOODWAY DR STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1506
Practice Address - Country:US
Practice Address - Phone:832-783-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102992235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist