Provider Demographics
NPI:1285443515
Name:AHSAN, AYESHA (SLP)
Entity type:Individual
Prefix:
First Name:AYESHA
Middle Name:
Last Name:AHSAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11440 MATZKE RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5015
Mailing Address - Country:US
Mailing Address - Phone:281-897-4000
Mailing Address - Fax:
Practice Address - Street 1:17100 ROBISON WOODS RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6188
Practice Address - Country:US
Practice Address - Phone:281-213-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122290235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist