Provider Demographics
NPI:1144704388
Name:ASAI, NAOMI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:ASAI
Suffix:
Gender:F
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 1:4229 HUNT DR APT 3406
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-3260
Mailing Address - Country:US
Mailing Address - Phone:801-706-9461
Mailing Address - Fax:
Practice Address - Street 1:4229 HUNT DR APT 3406
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-3260
Practice Address - Country:US
Practice Address - Phone:801-706-9461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist