MEDICARE: KATHRYN RUTH HAYES M.A., 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	14373	TX

General Provider Information

NPI Number	:	1952505372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN RUTH HAYES M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	301 PROCHNOW RD
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4861
Country	:	US
Telephone Number	:	512-858-2852
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 FM 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5311
Country	:	US
Telephone Number	:	512-847-5540
Fax Number	:

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

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