Healthcare Provider Details

I. General information

NPI: 1831093350
Provider Name (Legal Business Name): KENYA JANAE COUZIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 S HIGLEY RD STE 103
GILBERT AZ
85296-1167
US

IV. Provider business mailing address

15103 RIDINGWOOD DR
MISSOURI CITY TX
77489-2304
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-1477
  • Fax:
Mailing address:
  • Phone: 832-332-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: