MEDICARE: MRS. CHRISTINA MARIE CRITCHFIELD 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	SP9438	OH
2	235Z00000X	Speech-Language Pathologist	105513	TX

General Provider Information

NPI Number	:	1841423712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA MARIE CRITCHFIELD SLP

Provider Business Mailing Address
First Line	:	6005 WESTVIEW DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055
Country	:	US
Telephone Number	:	713-696-2130
Fax Number	:	713-696-2133

Provider Business Practice Location Address
First Line	:	6005 WESTVIEW DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055
Country	:	US
Telephone Number	:	713-696-2120
Fax Number	:	713-696-2133

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

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	07/09/2014

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Directions to “ MRS. CHRISTINA MARIE CRITCHFIELD SLP” Practice Location

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