Provider Demographics
NPI:1861148116
Name:APOLLO BILINGUAL SPEECH LANGUAGE THERAPY
Entity type:Organization
Organization Name:APOLLO BILINGUAL SPEECH LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-487-4167
Mailing Address - Street 1:225 S HEIGHTS BLVD APT 3102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-6355
Mailing Address - Country:US
Mailing Address - Phone:915-487-4167
Mailing Address - Fax:
Practice Address - Street 1:225 S HEIGHTS BLVD APT 3102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-6355
Practice Address - Country:US
Practice Address - Phone:915-487-4167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty