Provider Demographics
NPI:1740537976
Name:RABAZA-SAUNDERS, MIRIAM TERESA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:TERESA
Last Name:RABAZA-SAUNDERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 RIVERBROOK DR
Mailing Address - Street 2:SUITE#500
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6530
Mailing Address - Country:US
Mailing Address - Phone:281-343-7125
Mailing Address - Fax:281-343-7126
Practice Address - Street 1:7002 RIVERBROOK DR
Practice Address - Street 2:SUITE#500
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6530
Practice Address - Country:US
Practice Address - Phone:281-343-7125
Practice Address - Fax:281-343-7126
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist