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General NPI Number Information
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NPI Number | 1659819571
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Entity Type | Organization
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Legal Business Name | SEED REHABILITATION INC
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Dates
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Enumeration Date | 02/11/2017
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Last Update Date | 02/11/2017
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Provider Practice Location Address
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Address Line | 535 E FERNHURST DR 329
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City | KATY
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State | TX
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Zip | 77450-1431
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Country | US
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Telephone | 713-560-0168
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Fax |
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Provider Business Mailing Address
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Address Line | 535 E FERNHURST DR 329
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City | KATY
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State | TX
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Zip | 77450-1431
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Country | US
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Telephone | 713-560-0168
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. CHERYL PAYNE
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Credential | MS,CCC-SLP
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Telephone | 713-560-0168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 18821
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101973
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 105178
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License Number State | TX
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