Provider Demographics
NPI:1730388158
Name:RAY, SHEILA ANN (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANN
Last Name:RAY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 DUNBAR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009
Mailing Address - Country:US
Mailing Address - Phone:713-213-7336
Mailing Address - Fax:713-863-0991
Practice Address - Street 1:1136 DUNBAR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-2961
Practice Address - Country:US
Practice Address - Phone:713-213-7336
Practice Address - Fax:713-863-0991
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist