Individual
DR. EZENWANYI C IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A/SLP
Contact information
Practice address
21077 KINGSLAND BLVD APT 6217, KATY, TX 77450-3267
(770) 866-5024
Mailing address
21077 KINGSLAND BLVD APT 6217, KATY, TX 77450-3267
(770) 866-5024
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81534
TX
235Z00000X
Speech-Language Pathologist
119730
TX
Other
Enumeration date
03/02/2017
Last updated
11/15/2024
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