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NPI Code Detail

MEDICARE: MS. KATHRYN L SANDERS MS, CCC-SLP

MEDICARE: MS. KATHRYN L SANDERS MS, 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 Pathologist10351TX

General Provider Information

NPI Number : 1356559967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN L SANDERS MS, CCC-SLP
Provider Business Mailing Address
First Line : 2544 MANGUM ST
Second Line :
City : COMMERCE
State : TX
Zip : 75428-3515
Country : US
Telephone Number : 903-886-7669
Fax Number : 903-886-7679
Provider Business Practice Location Address
First Line : 2544 MANGUM ST
Second Line :
City : COMMERCE
State : TX
Zip : 75428-3515
Country : US
Telephone Number : 903-886-7669
Fax Number : 903-886-7679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/09/2007

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Directions to “ MS. KATHRYN L SANDERS MS, CCC-SLP” Practice Location

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