Provider Demographics
NPI:1639960644
Name:DOS SANTOS LEAL MESSIAS, VANESSA D (AUD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:D
Last Name:DOS SANTOS LEAL MESSIAS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3822 SPARKMAN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3151
Mailing Address - Country:US
Mailing Address - Phone:407-421-3439
Mailing Address - Fax:
Practice Address - Street 1:23410 GRAND RESERVE DR STE 1103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4984
Practice Address - Country:US
Practice Address - Phone:407-421-3439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty