Provider Demographics
NPI:1841683935
Name:KATY SPEECH AND LANGUAGE
Entity type:Organization
Organization Name:KATY SPEECH AND LANGUAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIRCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:281-766-3831
Mailing Address - Street 1:26622 COOK FIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2139
Mailing Address - Country:US
Mailing Address - Phone:281-766-3831
Mailing Address - Fax:844-615-5271
Practice Address - Street 1:26622 COOK FIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2139
Practice Address - Country:US
Practice Address - Phone:281-766-3831
Practice Address - Fax:844-615-5271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104915235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty