Basic Information
Provider Information
NPI: 1700114089
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNOWLES
FirstName: CYNDEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.S., CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6701 HIGHWAY 6
Address2: STE 120
City: MISSOURI CITY
State: TX
PostalCode: 774594370
CountryCode: US
TelephoneNumber: 2814032600
FaxNumber: 2814032606
Practice Location
Address1: 6701 HIGHWAY 6
Address2: STE 120
City: MISSOURI CITY
State: TX
PostalCode: 774594370
CountryCode: US
TelephoneNumber: 2814032600
FaxNumber: 2814032606
Other Information
ProviderEnumerationDate: 11/25/2009
LastUpdateDate: 11/25/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X10094337TXY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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