Most Relevant Information
Provider Data
| NPI Number: | 1003556945 |
| Provider Name: | GILDA LETRICA JACK-JOHNSON M. ED. CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 17426 |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 03/30/2022 |
Provider Practice Location
16910 GAFF CT
CROSBY
TX
775324426
Practice Location Phone/Fax
| Phone: | 8326224929 |
| Fax: |
Provider Mailing Location
16910 GAFF COURT
CROSBY
TX
77532
Provider Mailing Phone/Fax
| Phone: | 8326224929 |
| Fax: |