Provider Demographics
NPI:1982721908
Name:VAN HOUTEN, PAULA KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:KAY
Last Name:VAN HOUTEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 SOUTHWESTERN BLVD
Mailing Address - Street 2:APT 5131
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2219
Mailing Address - Country:US
Mailing Address - Phone:469-222-4066
Mailing Address - Fax:
Practice Address - Street 1:8445 SOUTHWESTERN BLVD
Practice Address - Street 2:APT 5131
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-2219
Practice Address - Country:US
Practice Address - Phone:469-222-4066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24729235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist