MEDICARE: UCHENNA UDOBI MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	103683	TX

General Provider Information

NPI Number	:	1073827234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UCHENNA UDOBI MS, CCC-SLP

Provider Business Mailing Address
First Line	:	2425 HOLLY HALL ST APT B44
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3932
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 HOLLY HALL ST APT B44
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3932
Country	:	US
Telephone Number	:	832-689-8915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	03/02/2026

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Directions to “ UCHENNA UDOBI MS, CCC-SLP” Practice Location

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