Healthcare Provider Details

I. General information

NPI: 1144560368
Provider Name (Legal Business Name): DORIAN ATHENA GADAH MS.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2903 FRIENDSWOOD LINK RD
WEBSTER TX
77598-3015
US

IV. Provider business mailing address

2864 EVERETT DR
FRIENDSWOOD TX
77546-4787
US

V. Phone/Fax

Practice location:
  • Phone: 954-907-5279
  • Fax:
Mailing address:
  • Phone: 954-907-5279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number105732
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: