Doctor Name: | KATIE FOGARTY |
NPI Number: | 1891193090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 109686 |
Business Practice Address: | 12933 White House St Manor, TX - 786533843 |
Business Phone Number: | 5854699121 |
Business Fax Number: | |
Mailing Address: | 12933 White House St, MANOR |
State: | TX |
Postal Code: | 786533843 |
Phone Number: | 5854699121 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2014 |
NPI Last Update Date: | 12/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 109686 |
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 |