Provider Demographics
NPI:1588073563
Name:RAHMAN, MICHEA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHEA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5143 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-4424
Mailing Address - Country:US
Mailing Address - Phone:832-706-4627
Mailing Address - Fax:
Practice Address - Street 1:5143 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-4424
Practice Address - Country:US
Practice Address - Phone:832-706-4627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109558235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist