Provider Demographics
NPI:1992988380
Name:HOUSER, TAMI JEAN (MED-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:JEAN
Last Name:HOUSER
Suffix:
Gender:F
Credentials:MED-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11302 ROAD 29
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-9349
Mailing Address - Country:US
Mailing Address - Phone:970-565-2518
Mailing Address - Fax:
Practice Address - Street 1:11302 ROAD 29
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-9349
Practice Address - Country:US
Practice Address - Phone:970-565-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-09
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3862235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist