MEDICARE: CATHRYN DONAGHEY M.S. SLP CFY

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	108974	TX

General Provider Information

NPI Number	:	1922424944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHRYN DONAGHEY M.S. SLP CFY

Provider Business Mailing Address
First Line	:	6850 MANHATTAN BLVD
Second Line	:	SUITE 204
City	:	FORT WORTH
State	:	TX
Zip	:	76120-1227
Country	:	US
Telephone Number	:	817-507-1500
Fax Number	:	817-507-0702

Provider Business Practice Location Address
First Line	:	6850 MANHATTAN BLVD
Second Line	:	SUITE 204
City	:	FORT WORTH
State	:	TX
Zip	:	76120-1227
Country	:	US
Telephone Number	:	817-507-1500
Fax Number	:	817-507-0702

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

Provider Enumeration Date	:	03/14/2014
Last Update Date	:	03/14/2014

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