Provider Demographics
NPI:1811780869
Name:DACHELET, MALIS (AUD)
Entity type:Individual
Prefix:
First Name:MALIS
Middle Name:
Last Name:DACHELET
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2952
Mailing Address - Country:US
Mailing Address - Phone:713-791-9363
Mailing Address - Fax:866-950-0118
Practice Address - Street 1:7900 FANNIN ST STE 1800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2952
Practice Address - Country:US
Practice Address - Phone:713-791-9363
Practice Address - Fax:866-950-0118
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81747231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist