Individual
DEIDRA ANN NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9757 WINDWATER DR, #5210, HOUSTON, TX 77075
(832) 362-6393
Mailing address
9757 WINDWATER DR., #5210, HOUSTON, TX 77075
(832) 362-6393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101832
TX SLP BOARD
TX
Enumeration date
06/21/2009
Last updated
02/22/2021
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