Provider Demographics
NPI:1427530856
Name:GEE, DOMENIQUE ROSZETTE
Entity type:Individual
Prefix:MRS
First Name:DOMENIQUE
Middle Name:ROSZETTE
Last Name:GEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DOMENIQUE
Other - Middle Name:ROSZETTE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 WATER STREET #12107
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598
Mailing Address - Country:US
Mailing Address - Phone:209-403-4862
Mailing Address - Fax:
Practice Address - Street 1:2500 MARKET STREET
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520
Practice Address - Country:US
Practice Address - Phone:281-428-3678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400072355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant