Individual provider · NPI-1

Ellison Davenport Abdalla, MS, CCC-SLP

Speech-Language Pathologist, · Houston, TX

NPI number1104588433
StatusActive
Last updated in NPPESJul 17, 2022

Details

NPI
1104588433
Entity type
Individual (NPI-1)
Name
Mrs. Ellison Davenport Abdalla
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 13, 2021
Certification date
Jul 17, 2022
Last updated
Jul 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,100167TXYes

Practice location

7200 Cambridge St Fl 10
Houston, TX 77030-4202

Phone 713-798-1750

Mailing address

3115 Sunset Blvd
Houston, TX 77005-2151

Phone 713-204-4774

Other practice locations

3115 Sunset Blvd
Houston, TX 77005-2151

Phone 713-204-4774

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Houston, TX