Kathleen Tanner, CCC/SLP
Individual provider Active NPI Local Education Agency (LEA) · Haskell, TX
NPI 1811666142 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1811666142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- License
- 12270 (TX)
- Practice address
- 1101 N Avenue E
Haskell, TX 79521-3625 - Phone
- (325) 338-2468
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12270 | TX | MD | Local Education Agency (LEA) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 12270 | TX | Yes |
Addresses
Primary practice location
1101 N Avenue E
Haskell, TX 79521-3625
Mailing address
PO Box 176
Haskell, TX 79521-0176
Phone (325) 338-2468
Other providers in Haskell, TX
- Siavash David Shahbodaghi
- Shane B Schmidt PLLC
- Philip Jason Smith
- Jason Stewart
- Kristi Kay Stewart
- Charles M Thomas
- Wal-Mart Stores Texas LLC
- Scott Daniel Woodard
- Joe Allen Yates
All providers in Haskell, TX · Local Education Agency (LEA) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.