Provider Demographics
NPI:1972809804
Name:AAD PEDIATRIC THERAPY PLLC
Entity type:Organization
Organization Name:AAD PEDIATRIC THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:713-364-9810
Mailing Address - Street 1:5201 MEMORIAL DR
Mailing Address - Street 2:UNIT 415
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8237
Mailing Address - Country:US
Mailing Address - Phone:713-364-9810
Mailing Address - Fax:713-456-2188
Practice Address - Street 1:5201 MEMORIAL DR
Practice Address - Street 2:UNIT 415
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8237
Practice Address - Country:US
Practice Address - Phone:713-364-9810
Practice Address - Fax:713-456-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102348235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty