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NPI Code Detail

MEDICARE: KATEY ELDRED CCC SLP

MEDICARE:   KATEY  ELDRED  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 Pathologist24404TX

General Provider Information

NPI Number : 1417057894
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATEY ELDRED CCC SLP
Provider Business Mailing Address
First Line : 11514 AUCUBA LN
Second Line :
City : HOUSTON
State : TX
Zip : 77095-3855
Country : US
Telephone Number : 832-275-8513
Fax Number :
Provider Business Practice Location Address
First Line : 10300 JONES RD
Second Line :
City : HOUSTON
State : TX
Zip : 77065-4208
Country : US
Telephone Number : 832-275-8513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 09/23/2022

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Directions to “ KATEY ELDRED CCC SLP” Practice Location

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