Doctor Name: | KATHRINE MAXINE MAXFIELD |
NPI Number: | 1831267111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D, CCC-SLP |
License Number: | 12506 |
Business Practice Address: | 214 Samuel Blvd #2h Coppell, TX - 750195272 |
Business Phone Number: | 2547604321 |
Business Fax Number: | |
Mailing Address: | 214 Samuel Blvd, #2h COPPELL |
State: | TX |
Postal Code: | 750195272 |
Phone Number: | 2547604321 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2006 |
NPI Last Update Date: | 06/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |