MICHELLE KETRICK (NPI# 1790808699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790808699 |
| Entity Type | Individual |
| Full Name | MICHELLE KETRICK |
| Credential | SLP |
| Practice Address |
19221 Interstate 45 S Suite 360 Conroe TX 77385-8756 |
| Mailing Address |
2721 N Logrun Cir The Woodlands TX 77380-4010 |
| Practice Telephone | 2812924800 |
| Practice Fax Number | 2812929588 |
| Mailing Telephone | 2812924800 |
| Mailing Fax Number | 2812929588 |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 17814 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
19221 INTERSTATE 45 S SUITE 360 |
| City | CONROE |
| State | TX |
| Zip Code | 77385-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104040450 | Jackie Denise Cox | Licensed Vocational Nurse | 19221 Interstate 45 S, Suite 430, Conroe, TX 77385-8756 | 2007-04-11 |
| 1174646079 | Lea Ann Jordan | Occupational Therapist | 19221 Interstate 45 S, Suite 360, Conroe, TX 77385-8756 | 2007-04-08 |
| 1346363249 | Annamarie Tucker | Physical Therapist | 19221 Interstate 45 S, Suite 360, Conroe, TX 77385-8756 | 2007-04-08 |
| 1336262237 | Jill Loushine | Physical Therapist | 19221 Interstate 45 S, Conroe, TX 77385-8756 | 2007-04-08 |
| 1184745291 | Center for Pediatric Therapy | Speech-Language Pathologist | 19221 Interstate 45 S, Suite 360, Conroe, TX 77385-8756 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204939 | Courtney Paige Stockert | Speech-Language Pathologist | 11133 Interstate 45 S Ste 190, Conroe, TX 77302-5834 | 2019-03-13 |
| 1316427230 | Blair Lauren Stewart | Speech-Language Pathologist | 604 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2018-08-20 |
| 1700338258 | Infinity & Beyond Therapy | Speech-Language Pathologist | 12412 Fm 2854 Rd, Conroe, TX 77304-4426 | 2016-11-01 |
| 1518215953 | Patricia Lynn Feder | Speech-Language Pathologist | 13258 Chappel Wood Ln., Conroe, TX 77302 | 2012-08-15 |
| 1639476419 | Amber Marie Papanos | Speech-Language Pathologist | 2051 Lulach Ln, Conroe, TX 77301-7305 | 2011-02-14 |
| 1841509031 | Cindy V Powe | Speech-Language Pathologist | 1900 Westview Blvd, #926, Conroe, TX 77304-1925 | 2010-10-05 |
| 1831403112 | Lindsay Scalise | Speech-Language Pathologist | 409 N Loop 336 W, Suite 9, Conroe, TX 77301-1211 | 2010-07-29 |
| 1639373343 | Mary Fisher | Speech-Language Pathologist | 3421 W Davis St Ste 210, Conroe, TX 77304-1846 | 2007-06-14 |
| 1194846311 | Suzette Nielsen | Speech-Language Pathologist | 981 Arbor Way, Conroe, TX 77303 | 2007-04-03 |
| 1477608495 | Ruth Roma Berg | Speech-Language Pathologist | 704 Longmire Road Suite 101, Beyond Boundaries Therapy Center, Conroe, TX 77304 | 2007-01-23 |
| Find all providers in CONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.