Healthcare Provider Details

I. General information

NPI: 1841830312
Provider Name (Legal Business Name): AYESHA OWOLABI SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8234 SOLARA BND
HOUSTON TX
77083-5156
US

IV. Provider business mailing address

8234 SOLARA BND
HOUSTON TX
77083-5156
US

V. Phone/Fax

Practice location:
  • Phone: 713-213-7120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number122419
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: