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NPI Code Detail

MEDICARE: SHARIAH GREEN M.S., CCC-SLP

MEDICARE: SHARIAH GREEN M.S., 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
1235Z00000XSpeech-Language Pathologist116145TX

General Provider Information

NPI Number : 1386261261
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARIAH GREEN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 955 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2803
Country : US
Telephone Number : 713-251-7200
Fax Number :
Provider Business Practice Location Address
First Line : 955 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2803
Country : US
Telephone Number : 713-251-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2020
Last Update Date : 06/23/2022

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Directions to “ SHARIAH GREEN M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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