Provider Demographics
NPI:1053410746
Name:JAMES, KAY MARLENE (MS-CCC)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:MARLENE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4602 JAMAICA DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2134
Mailing Address - Country:US
Mailing Address - Phone:281-543-3537
Mailing Address - Fax:
Practice Address - Street 1:2205 WILLIAMS TRACE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4514
Practice Address - Country:US
Practice Address - Phone:281-543-3537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist