Most Relevant Information
Provider Data
| NPI Number: | 1003307547 |
| Provider Name: | KATIE BROOM M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 114445 |
Most Important Dates
| Enumeration Date: | 05/21/2018 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
107 S JUDY ST
HALLETTSVILLE
TX
779643223
Practice Location Phone/Fax
| Phone: | 3612107366 |
| Fax: | 3617995001 |
Provider Mailing Location
PO BOX 166
HALLETTSVILLE
TX
779640166
Provider Mailing Phone/Fax
| Phone: | 3612107366 |
| Fax: | 3617995001 |