Provider Demographics
NPI:1881611630
Name:THERAPY INTERVENTION & REHABILITATION, INC.
Entity type:Organization
Organization Name:THERAPY INTERVENTION & REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CORRINIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SPEED
Authorized Official - Suffix:
Authorized Official - Credentials:MCD-CCC/SLP
Authorized Official - Phone:281-992-5300
Mailing Address - Street 1:PO BOX 1450
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-1450
Mailing Address - Country:US
Mailing Address - Phone:281-992-5300
Mailing Address - Fax:281-992-5302
Practice Address - Street 1:820 S FRIENDSWOOD DR
Practice Address - Street 2:SUITE 203-C
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4591
Practice Address - Country:US
Practice Address - Phone:281-992-5300
Practice Address - Fax:281-992-5302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16835235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty