Individual
SHEENA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
1935 AVE C, KATY, TX 77493
(281) 392-4221
(281) 392-4225
Mailing address
7723 FONDREN RD, HOUSTON, TX 77074
(985) 705-9822
(281) 392-4225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
760199836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108152
SPEECH LICENSE NUMBER
TX
Enumeration date
12/22/2014
Last updated
12/22/2014
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