MEDICARE: MRS. KATHERINE TAYLOR HEBERT 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
1	235Z00000X	Speech-Language Pathologist	112016	TX

General Provider Information

NPI Number	:	1508344698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE TAYLOR HEBERT CCC-SLP

Provider Business Mailing Address
First Line	:	9815 WINDLEDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-1964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9815 WINDLEDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-1964
Country	:	US
Telephone Number	:	972-658-0539
Fax Number	:

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

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/01/2018

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Directions to “ MRS. KATHERINE TAYLOR HEBERT CCC-SLP” Practice Location

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