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Organization
XPRESSIVELY YOURZ SPEECH THERAPY SERVICES
Active
Organization
XPRESSIVELY YOURZ SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA SHAVONNE CROCKETT M.ED.,CCC-SLP (EXECUTIVE DIRECTOR)
(281) 451-2567
Entity
Organization
Contact information
Practice address
14511 FALLING CREEK DR, SUITE 205, HOUSTON, TX 77014-1244
(281) 397-0882
Mailing address
15622 CLARKS FORK CT, HOUSTON, TX 77086-1173
(281) 397-0882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196943801
—
TX
Enumeration date
03/15/2016
Last updated
03/15/2016
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