Individual
DOMENIQUE RIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
955 CAMPBELL RD, HOUSTON, TX 77024-2803
(713) 251-6887
Mailing address
701 E 40TH ST, HOUSTON, TX 77022-4735
(832) 444-5933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117157
TX
Other
Enumeration date
03/04/2022
Last updated
08/15/2022
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