Healthcare Provider Details

I. General information

NPI: 1144834250
Provider Name (Legal Business Name): LAILANI JUI SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 S HIGLEY RD STE 103-477
GILBERT AZ
85296-1166
US

IV. Provider business mailing address

13922 REO ST
HOUSTON TX
77040-5436
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-1477
  • Fax:
Mailing address:
  • Phone: 832-503-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: