MEDICARE: SUZANNE JOY MCGAHA MS

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	101308	TX

General Provider Information

NPI Number	:	1487133260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE JOY MCGAHA MS

Provider Business Mailing Address
First Line	:	11152 WESTHEIMER RD # 989
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3208
Country	:	US
Telephone Number	:	713-922-9221
Fax Number	:

Provider Business Practice Location Address
First Line	:	13119 PINE LAUREL CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2052
Country	:	US
Telephone Number	:	713-922-9221
Fax Number	:

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

Provider Enumeration Date	:	08/12/2018
Last Update Date	:	02/02/2025

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