Provider Demographics
NPI:1316246432
Name:SPEECH MASTERS, INC.
Entity type:Organization
Organization Name:SPEECH MASTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:IV
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:832-656-7775
Mailing Address - Street 1:5943 SAGAMORE BAY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7203
Mailing Address - Country:US
Mailing Address - Phone:832-656-7775
Mailing Address - Fax:832-550-2400
Practice Address - Street 1:10333 HARWIN DR
Practice Address - Street 2:SUITE 388
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1545
Practice Address - Country:US
Practice Address - Phone:832-656-7775
Practice Address - Fax:832-550-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty