Provider Demographics
NPI:1316489305
Name:WHITE, REKEITTA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:REKEITTA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:REKEITTA
Other - Middle Name:
Other - Last Name:ROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 ENCLAVE PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1606
Mailing Address - Country:US
Mailing Address - Phone:281-741-3372
Mailing Address - Fax:281-741-3521
Practice Address - Street 1:1110 ENCLAVE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1606
Practice Address - Country:US
Practice Address - Phone:281-741-3372
Practice Address - Fax:281-741-3521
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist