Provider Demographics
NPI:1295474492
Name:FEESABLE SWALLOW SOLUTIONS AND REHABILITATION
Entity type:Organization
Organization Name:FEESABLE SWALLOW SOLUTIONS AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:337-849-9156
Mailing Address - Street 1:2828 OLD SPANISH TRL APT 467
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2258
Mailing Address - Country:US
Mailing Address - Phone:337-849-9156
Mailing Address - Fax:
Practice Address - Street 1:303 OLD CYPRESS DR
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-7755
Practice Address - Country:US
Practice Address - Phone:337-849-9156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty