Jordan Alyssa Fetgatter, MS, CCC-SLP
Speech-Language Pathologist, in Houston, TX. Individual provider (NPI-1).
NPI number1346857562
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1346857562
- Entity type
- Individual (NPI-1)
- Name
- Jordan Alyssa Fetgatter
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 114716 | TX | Yes |
Practice location
10800 Flora Mae Meadows RdHouston, TX 77089-5974
Phone 832-328-2350
Mailing address
2814 Parkside Village LnPearland, TX 77581-7258
Phone 713-553-0265
Other practice locations
1500 Sunset Dr
Friendswood, TX 77546-4724
Friendswood, TX 77546-4724
Phone 281-992-4300
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