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NPI Code Detail

MEDICARE: CARISSIMA GORI UPTMOR M.S., CCC-SLP

MEDICARE: CARISSIMA GORI UPTMOR M.S., 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
1235Z00000XSpeech-Language Pathologist100825TX

General Provider Information

NPI Number : 1093876591
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARISSIMA GORI UPTMOR M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4250 COOK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1115
Country : US
Telephone Number : 281-498-8110
Fax Number :
Provider Business Practice Location Address
First Line : 4250 COOK ROAD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1115
Country : US
Telephone Number : 281-498-8110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 06/29/2022

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Directions to “ CARISSIMA GORI UPTMOR M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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