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NPI Code Detail

MEDICARE: MS. CATHERINE RAPHAELLE GOLDIN BLAIS SLP-A

MEDICARE: MS. CATHERINE RAPHAELLE GOLDIN BLAIS SLP-A
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
12355S0801XSpeech-Language Assistant41471TX

General Provider Information

NPI Number : 1790380137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE RAPHAELLE GOLDIN BLAIS SLP-A
Provider Business Mailing Address
First Line : 16320 MELLOW OAKS LN
Second Line :
City : SUGAR LAND
State : TX
Zip : 77498-7214
Country : US
Telephone Number : 713-702-6240
Fax Number :
Provider Business Practice Location Address
First Line : 16320 MELLOW OAKS LN
Second Line :
City : SUGAR LAND
State : TX
Zip : 77498-7214
Country : US
Telephone Number : 713-702-6240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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Directions to “ MS. CATHERINE RAPHAELLE GOLDIN BLAIS SLP-A” Practice Location

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