Doctor Name: | MS. KELLY DRAKE PATTERSON |
NPI Number: | 1851432645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 16869 |
Business Practice Address: | 1504 Highland Dr Cedar Park, TX - 786136827 |
Business Phone Number: | 5127300451 |
Business Fax Number: | 5125281340 |
Mailing Address: | 1504 Highland Dr, CEDAR PARK |
State: | TX |
Postal Code: | 786136827 |
Phone Number: | 5127300451 |
Fax Number: | 5125281340 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16869 |
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 |