Provider Demographics
NPI:1447819776
Name:ONYIA, KIMBERLY ADA ONUEGBU (SLP, ASSISTANT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ADA ONUEGBU
Last Name:ONYIA
Suffix:
Gender:F
Credentials:SLP, ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 DRYAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4020
Mailing Address - Country:US
Mailing Address - Phone:832-472-4976
Mailing Address - Fax:
Practice Address - Street 1:6406 DRYAD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4020
Practice Address - Country:US
Practice Address - Phone:832-472-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39902261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech