Clarissa Balderas
Speech-Language Pathologist, in Humble, TX. Individual provider (NPI-1).
NPI number1821660127
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1821660127
- Entity type
- Individual (NPI-1)
- Name
- Ms. Clarissa Balderas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 118217 | TX | Yes |
Practice location
19298 W Lake Houston PkwyHumble, TX 77346-4827
Phone 832-828-4900
Mailing address
19298 W Lake Houston PkwyHumble, TX 77346-4827
Phone 832-828-4900
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