Provider Demographics
NPI:1386870350
Name:SCHMITZ, GRETCHEN (CCC/SLP)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 BISSONNET ST STE 250
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3007
Mailing Address - Country:US
Mailing Address - Phone:713-669-8635
Mailing Address - Fax:713-218-7593
Practice Address - Street 1:13313 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3669
Practice Address - Country:US
Practice Address - Phone:281-242-1117
Practice Address - Fax:281-242-2336
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist