| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IVAN MEJIA | 1972648855 | 2023-02-11 |
Ivan Mejia is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972648855. Registration indicates Ivan Mejia is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Ivan Mejia M.A., CCC-SLP |
| Practice Office Address | 6666 HARWIN DR STE 158 HOUSTON, TX US |
| Practice Office Telephone | 7134291176 |
| Practice Office Fax | 8322529263 |
| Mailing Address | 6666 HARWIN DR STE 158 HOUSTON, TX 770362546 US |
| Business Telephone | 7134291176 |
| Business Fax | 8322529263 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 102518
TX |
| 183948201 | MEDICAID | TX |