Provider Demographics
NPI:1336984061
Name:CALKINS, NATALIE SUZANNE (MS, SLP-CF)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:SUZANNE
Last Name:CALKINS
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16604 WHITE FISH LN
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-2276
Mailing Address - Country:US
Mailing Address - Phone:214-399-6756
Mailing Address - Fax:
Practice Address - Street 1:16604 WHITE FISH LN
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-2276
Practice Address - Country:US
Practice Address - Phone:214-399-6756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121987235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist