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NPI Code Detail

MEDICARE: MRS. KATY WEISCHWILL SKILLMAN M.S., CCC-SLP

MEDICARE: MRS. KATY WEISCHWILL SKILLMAN M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist107058TX

General Provider Information

NPI Number : 1225387384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATY WEISCHWILL SKILLMAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 5432 HUNTLY DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-2226
Country : US
Telephone Number : 817-343-8170
Fax Number :
Provider Business Practice Location Address
First Line : 5432 HUNTLY DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-2226
Country : US
Telephone Number : 817-343-8170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 11/09/2016

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Directions to “ MRS. KATY WEISCHWILL SKILLMAN M.S., CCC-SLP” Practice Location

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