Basic Information
Provider Information
NPI: 1447730791
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAATHOFF
FirstName: CATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5021 BYERS AVE
Address2:  
City: FORT WORTH
State: TX
PostalCode: 761073602
CountryCode: US
TelephoneNumber: 8309315776
FaxNumber:  
Practice Location
Address1: 1201 HOLLAND LAKE DR
Address2:  
City: WEATHERFORD
State: TX
PostalCode: 760865851
CountryCode: US
TelephoneNumber: 8175980160
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2018
LastUpdateDate: 08/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X114276TXY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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