MEDICARE: KATHRYN RATLIFF M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		TX

General Provider Information

NPI Number	:	1457708174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN RATLIFF M.S.

Provider Business Mailing Address
First Line	:	4777 CEDAR SPRINGS RD
Second Line	:	6D
City	:	DALLAS
State	:	TX
Zip	:	75219-6144
Country	:	US
Telephone Number	:	806-681-8740
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 CEDAR SPRINGS RD
Second Line	:	6D
City	:	DALLAS
State	:	TX
Zip	:	75219-6144
Country	:	US
Telephone Number	:	806-681-8740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	05/23/2016

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