Provider Demographics
NPI:1790779668
Name:SLANICKY, DENISE ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ANN
Last Name:SLANICKY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:SLANICKY
Other - Last Name:MASTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3100 SHENANDOAH ST # 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1042
Mailing Address - Country:US
Mailing Address - Phone:281-661-4858
Mailing Address - Fax:281-766-5117
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-828-3660
Practice Address - Fax:832-825-9187
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51086231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist