Provider Demographics
NPI:1588067151
Name:KRISTI LANIER SPEECH PATHOLOGY SERVICES, PLLC
Entity type:Organization
Organization Name:KRISTI LANIER SPEECH PATHOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/SLP
Authorized Official - Phone:281-852-7644
Mailing Address - Street 1:5510 ATASCOCITA RD STE 270
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2948
Mailing Address - Country:US
Mailing Address - Phone:281-812-0336
Mailing Address - Fax:281-852-6636
Practice Address - Street 1:5510 ATASCOCITA RD STE 270
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2948
Practice Address - Country:US
Practice Address - Phone:281-812-0336
Practice Address - Fax:281-812-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16951235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty