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Individual

ANITA ZACHARIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D, MS, CCC-SLP, A

Contact information

Practice address
604 ROBERT STREET, HOUSTON, TX 77092
(713) 294-2661
(281) 292-8696
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100069
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162363901
TX
01
8T3682
BLUE SHIELD PROVIDER I D
TX
Enumeration date
08/21/2006
Last updated
04/17/2025
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