MEDICARE: LATONYA ANN VENTERS

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	102087	TX

General Provider Information

NPI Number	:	1346492907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATONYA ANN VENTERS

Provider Business Mailing Address
First Line	:	8819 LURAY CT
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77469-4974
Country	:	US
Telephone Number	:	832-595-6380
Fax Number	:

Provider Business Practice Location Address
First Line	:	8819 LURAY CT
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77469-4974
Country	:	US
Telephone Number	:	832-595-6380
Fax Number	:

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

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	10/15/2008

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Directions to “ LATONYA ANN VENTERS ” Practice Location

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