MEDICARE: VONETTA CLARK ALLEN CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	101079	TX

General Provider Information

NPI Number	:	1205157211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VONETTA CLARK ALLEN CCC/SLP

Provider Business Mailing Address
First Line	:	18502 GREEN LAND WAY STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7967
Country	:	US
Telephone Number	:	281-717-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	18502 GREEN LAND WAY STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7967
Country	:	US
Telephone Number	:	281-717-4308
Fax Number	:	877-886-0898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	04/21/2026

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Directions to “ VONETTA CLARK ALLEN CCC/SLP” Practice Location

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