Provider Demographics
NPI:1447447396
Name:GARNER, YOSHIKA WAKENA (MED, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:YOSHIKA
Middle Name:WAKENA
Last Name:GARNER
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:MS
Other - First Name:YOSHIKA
Other - Middle Name:WAKENA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, CCC-SLP
Mailing Address - Street 1:2800 BROADWAY ST STE C
Mailing Address - Street 2:#525
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-9503
Mailing Address - Country:US
Mailing Address - Phone:832-736-8485
Mailing Address - Fax:985-464-0111
Practice Address - Street 1:5134 N BAYOU BLACK DR
Practice Address - Street 2:
Practice Address - City:GIBSON
Practice Address - State:LA
Practice Address - Zip Code:70356-3126
Practice Address - Country:US
Practice Address - Phone:832-732-8485
Practice Address - Fax:985-464-0111
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192975404Medicaid
TX192975405OtherCSHCN