Provider Demographics
NPI:1174780910
Name:MCLAIN, KATHRINE ANN (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRINE
Middle Name:ANN
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11450 ROJAS DR
Mailing Address - Street 2:STE. D-14
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6992
Mailing Address - Country:US
Mailing Address - Phone:915-356-1919
Mailing Address - Fax:915-356-1889
Practice Address - Street 1:11450 ROJAS DR
Practice Address - Street 2:STE. D-14
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6992
Practice Address - Country:US
Practice Address - Phone:915-356-1919
Practice Address - Fax:915-356-1889
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16644235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist