SHAWANNA VIDAL BLAZE
NPI 1457671083
Speech-Language Pathologist in Houston, TX

Active since June 05, 2010
2840 SHADOWBRIAR DR, #1418, HOUSTON, TX 77077(318) 572-0189 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawanna Vidal Blaze NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWANNA VIDAL BLAZE (NPI 1457671083) is an individual speech-language pathologist provider in Houston, Texas, licensed in Texas (107083) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1457671083
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHAWANNA VIDAL BLAZE
Location Address2840 SHADOWBRIAR DR, #1418Houston, TX 77077-3268
Mailing Address2840 Shadowbriar Dr, #1418Houston, TX 77077-3268 · (318) 572-0189
Sole ProprietorYes
Enumeration DateJune 5, 2010
Last NPPES UpdateAugust 7, 2012
NPI 1457671083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in TX · 107083
Definition
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.
2840 SHADOWBRIAR DR, Houston, TX 77077

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
2840 SHADOWBRIAR DR, 505
HOUSTON, TX 77077
Ambulance (Land Transport)
2840 SHADOWBRIAR DR, 820
HOUSTON, TX 77077
Home Health
2840 SHADOWBRIAR DR, 709
HOUSTON, TX 77077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawanna Blaze's NPI number?

The NPI number for Shawanna Blaze is 1457671083. It was assigned to this individual provider in the NPPES registry on June 5, 2010.

Where is Shawanna Blaze located?

Shawanna Blaze practices at 2840 Shadowbriar Dr #1418, Houston, TX 77077. The listed phone number is (318) 572-0189.

What is Shawanna Blaze's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Shawanna Blaze was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.