Provider Demographics
NPI:1720253560
Name:ANDERSEN, MONICA K (MA, FAAA)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:K
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:MA, FAAA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10740 N GESSNER RD
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:2500 TANGLEWILDE
Practice Address - Street 2:SUITE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2123
Practice Address - Country:US
Practice Address - Phone:713-781-9660
Practice Address - Fax:713-974-3672
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50264231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist