Provider Demographics
NPI:1194449132
Name:CLAY, CATHRYN SUE (MED,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CATHRYN
Middle Name:SUE
Last Name:CLAY
Suffix:
Gender:F
Credentials:MED,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 PACK SADDLE PASS
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-6360
Mailing Address - Country:US
Mailing Address - Phone:325-518-7533
Mailing Address - Fax:
Practice Address - Street 1:126 PACK SADDLE PASS
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-6360
Practice Address - Country:US
Practice Address - Phone:325-518-7533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX14078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist