Provider Demographics
NPI:1245850528
Name:ALBRITTON, ELIZABETH MARSHALL (MACCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARSHALL
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 BONNYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3741
Mailing Address - Country:US
Mailing Address - Phone:713-858-9216
Mailing Address - Fax:
Practice Address - Street 1:2000 HOLLY HALL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4032
Practice Address - Country:US
Practice Address - Phone:713-858-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14114235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist