=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740569250
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LJHC SPEECH PATHOLOGY SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2011
-----------------------------------------------------
Last Update Date | 04/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14511 FALLING CREEK DR STE 102
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77014-1279
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-417-0280
-----------------------------------------------------
Fax | 281-583-7336
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14511 FALLING CREEK DR STE 102
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77014-1279
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-417-0280
-----------------------------------------------------
Fax | 281-583-7336
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MS. LEEJANE HONG-COOPER
-----------------------------------------------------
Credential | M.S. CCC-SLP
-----------------------------------------------------
Telephone | 713-417-0280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 10423
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------