Healthcare Provider Details

I. General information

NPI: 1265768014
Provider Name (Legal Business Name): PATRICIA GEORGE REED M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CLINICAL RESEARCH CTR
HOUSTON TX
77204-6018
US

IV. Provider business mailing address

100 CLINICAL RESEARCH CTR
HOUSTON TX
77204-6018
US

V. Phone/Fax

Practice location:
  • Phone: 713-743-2898
  • Fax: 713-743-3936
Mailing address:
  • Phone: 713-743-2898
  • Fax: 713-743-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12548
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: