MEDICARE: INSPIRING COMMUNICATION THRU ADAPTATION & NURTURING

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

General Provider Information

NPI Number	:	1265089551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRING COMMUNICATION THRU ADAPTATION & NURTURING

Provider Business Mailing Address
First Line	:	7910 HIGH KNOLL LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-4474
Country	:	US
Telephone Number	:	832-754-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	7066 LAKEVIEW HAVEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2568
Country	:	US
Telephone Number	:	832-314-0326
Fax Number	:	832-201-0353

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	TIFFANY INDIERO
Credential	:
Telephone Number	:	832-754-1031

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	08/21/2019

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Directions to “INSPIRING COMMUNICATION THRU ADAPTATION & NURTURING ” Practice Location

Language	Start Address	Practice Location

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