MEDICARE: KATHARINE ANNE NORDIN MA, 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		AL
2	235Z00000X	Speech-Language Pathologist		TX

General Provider Information

NPI Number	:	1568896439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE ANNE NORDIN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	2748 COLUMBUS
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-5513
Country	:	US
Telephone Number	:	269-823-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WALTER STEPHENSON RD
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-3699
Country	:	US
Telephone Number	:	469-856-5000
Fax Number	:

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

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	12/06/2024

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Directions to “ KATHARINE ANNE NORDIN MA, CCC-SLP” Practice Location

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