Individual
MS. ANDREA FOREMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2011 BROADWAY ST, PEARLAND, TX 77581-5797
(281) 997-8509
Mailing address
2215 DOVE HAVEN LN, LEAGUE CITY, TX 77573-4182
(337) 581-6357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109427
TX
235Z00000X
Speech-Language Pathologist
6684
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109427
SPEECH PATHOLOGIST STATE LICENSE
TX
Enumeration date
05/15/2013
Last updated
07/21/2022
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