Provider Demographics
NPI:1265923767
Name:CHESSHER, RITA ANN
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ANN
Last Name:CHESSHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-4337
Mailing Address - Country:US
Mailing Address - Phone:832-984-4808
Mailing Address - Fax:
Practice Address - Street 1:1410 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4337
Practice Address - Country:US
Practice Address - Phone:832-984-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14124235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist