Provider Demographics
NPI:1104538412
Name:SPEECH AND LANGUAGE INSTITUTE
Entity type:Organization
Organization Name:SPEECH AND LANGUAGE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:713-321-0166
Mailing Address - Street 1:17077 N TEXAS AVE UNIT 57331
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4171
Mailing Address - Country:US
Mailing Address - Phone:713-321-0166
Mailing Address - Fax:
Practice Address - Street 1:7502 AUGUSTA LANE
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583
Practice Address - Country:US
Practice Address - Phone:713-321-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty