Katie Juvette
Individual provider Active NPI Speech-Language Pathologist · Springtown, TX
NPI 1922700418 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1922700418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 111665 (TX)
- Practice address
- 314 E 5TH Ter
Springtown, TX 76082-2270 - Phone
- (817) 220-1700
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 111665 | TX | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111665 | TX | Yes |
Addresses
Primary practice location
314 E 5TH Ter
Springtown, TX 76082-2270
Mailing address
314 E 5TH Ter
Springtown, TX 76082-2270
Phone (817) 220-1700
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All providers in Springtown, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. 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.