Healthcare Provider Details

I. General information

NPI: 1952575078
Provider Name (Legal Business Name): KATE PERMENTER MS, SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6755 PHELAN BLVD STE 38
BEAUMONT TX
77706-6078
US

IV. Provider business mailing address

6755 PHELAN BLVD STE 38
BEAUMONT TX
77706-6078
US

V. Phone/Fax

Practice location:
  • Phone: 409-554-0689
  • Fax: 409-554-0483
Mailing address:
  • Phone: 409-554-0689
  • Fax: 409-554-0483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number103407
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: