MEDICARE: JOCELYN GREENE

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	43662	TX

General Provider Information

NPI Number	:	1871383679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN GREENE

Provider Business Mailing Address
First Line	:	7740 W LITTLE YORK RD APT 2232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5487
Country	:	US
Telephone Number	:	601-329-9024
Fax Number	:

Provider Business Practice Location Address
First Line	:	7740 W LITTLE YORK RD APT 2232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5487
Country	:	US
Telephone Number	:	601-329-9024
Fax Number	:

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

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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Directions to “ JOCELYN GREENE ” Practice Location

Language	Start Address	Practice Location

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