Provider Demographics
NPI:1659699361
Name:LEE, JONEISHA T (SLP)
Entity type:Individual
Prefix:MRS
First Name:JONEISHA
Middle Name:T
Last Name:LEE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 TIMBER CREEK PLACE DR APT 813
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5384
Mailing Address - Country:US
Mailing Address - Phone:985-713-9529
Mailing Address - Fax:
Practice Address - Street 1:5730 TIMBER CREEK PLACE DR APT 813
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5384
Practice Address - Country:US
Practice Address - Phone:985-713-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113217235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist