JOHANNA WALLACE (NPI# 1942406723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942406723 |
Entity Type | Individual |
Full Name | JOHANNA WALLACE |
Credential | MS CCC-SLP |
Practice Address |
4100 N Sam Houston Pkwy W Ste 240 Houston TX 77086-1466 |
Mailing Address |
305 Ne Loop 820 Business Tower 1, Suite 200 Hurst TX 76053-7137 |
Practice Telephone | 8323786123 |
Practice Fax Number | 8322531181 |
Mailing Telephone | (817) 292-8787 |
Mailing Fax Number | 8177896849 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2017-08-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SA8966 | FL | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750569034 | Johanna Wallace | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2008-02-08 |
Street Address |
4100 N SAM HOUSTON PKWY W STE 240 |
City | HOUSTON |
State | TX |
Zip Code | 77086-1466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033242748 | Clarice G Serrano | Physical Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2007-03-13 |
1831706837 | Daisy Eva Su | Physical Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-09-24 |
1073127171 | Jenna Tan | Physical Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-09-04 |
1174135065 | Margaret Hurley | Speech-Language Pathologist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-08-20 |
1740892173 | Julia Wiggins | Physical Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-08-18 |
1538778535 | Jennifer Jaimez | Speech-Language Pathologist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-07-24 |
1942826433 | Miguel Perez | Occupational Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-06-19 |
1346872298 | Franchesca Victoria Cox | Occupational Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2020-02-09 |
1811544091 | Myeisha Yvette Hansbrough | Occupational Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2019-08-21 |
1063068120 | Hannah Olenick | Physical Therapist | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2019-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084004 | Millicent Andrea Dallas | Driver | 10830 Heather Hill Dr, Houston, TX 77086 | 2018-05-23 |
1710480983 | Llj Pharmacy | Pharmacy | 13420 Tomball Pkwy Ste K, Houston, TX 77086 | 2018-03-14 |
1588170351 | Robert Gopie | Dentist | Brident Dental, 13327 Tomball Parkway, Houston, TX 77086 | 2017-12-15 |
1265952667 | Margaret M Wilson | Speech-Language Pathologist | 4100 N Sam Houston Parkway W Suite 240, Houston, TX 77086 | 2017-06-27 |
1376904920 | Houston Compounding Pharmacy Inc | Pharmacy | 14002 Tomball Pkwy, #a, Houston, TX 77086 | 2016-03-10 |
1629456934 | Ina Healthcare Services | Non-emergency Medical Transport (VAN) | 10810 Coral Stone Road, Houston, TX 77086 | 2015-05-07 |
1831582659 | Christine Kim Pinyopusarerk | Dentist | 11740 State Highway 249 Ste A, Houston, TX 77086 | 2015-03-18 |
1790121390 | Antoine Health Clinic Inc. | Chiropractor | 11003 Antoine Dr. Ste.m, Houston, TX 77086 | 2013-05-22 |
1336583772 | Harshil Patel | Dentist | 13327 Tomball Parkway, Houston, TX 77086 | 2013-04-27 |
1316297583 | Abundantchanges | Community/Behavioral Health | 100002 Port Angeles Drive, Houston, TX 77086 | 2012-09-14 |
Find all providers in zip 77086 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
1750998571 | Ahbria Chontrelle Williams | Speech-Language Pathologist | 10830 Craighead Dr Ste 100, Houston, TX 77025-5804 | 2020-09-25 |
1093320194 | Jessica Caldwell | Speech-Language Pathologist | 847 T C Jester Blvd, Houston, TX 77008-6307 | 2020-09-15 |
1023623154 | Sarah Caspary Arcidiacono | Speech-Language Pathologist | 1900 North Loop W Ste 500, Houston, TX 77018-8120 | 2020-09-15 |
1285249847 | Jessica Jones | Speech-Language Pathologist | 304 Westcott St, Houston, TX 77007-7005 | 2020-09-10 |
1861006967 | Meghan Sharenson | Speech-Language Pathologist | 1342 Tulane St, Houston, TX 77008-4106 | 2020-09-04 |
1770197964 | Kailey Michelle Bostic | Speech-Language Pathologist | 2930 Plum Creek Ln Apt 1301, Houston, TX 77087-2376 | 2020-09-03 |
1043824691 | Melanie Yvonne Evans | Speech-Language Pathologist | 3603 Chenevert St Apt 308, Houston, TX 77004-4281 | 2020-09-01 |
1912519182 | Morgan Aarionne Mays | Speech-Language Pathologist | 3131 W Bellfort Ave Apt 404, Houston, TX 77054-5039 | 2020-08-19 |
1467063750 | Stephanie Akiko Efferding | Speech-Language Pathologist | 3031 Ellington St, Houston, TX 77088-4558 | 2020-08-11 |
Find all providers in HOUSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.