Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawanna Vidal Blaze

Individual provider Speech-Language Pathologist · NPI 1457671083

Shawanna Vidal Blaze is a Speech-Language Pathologist in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

2840 Shadowbriar Dr #1418
Houston, TX 77077-3268
Phone: (318) 572-0189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 107083 (TX)

Record details

NPI number1457671083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2010
Last updated in NPPESAugust 7, 2012
Mailing address2840 Shadowbriar Dr, 1418, Houston, TX 77077-3268

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