Provider Demographics
NPI:1386966414
Name:WOOD, CATHY DUFOUR (MA, CCC-SLP, BCS-S)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:DUFOUR
Last Name:WOOD
Suffix:
Gender:F
Credentials:MA, CCC-SLP, BCS-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:13423 BLANCO RD # 109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2187
Mailing Address - Country:US
Mailing Address - Phone:210-355-6020
Mailing Address - Fax:210-878-4017
Practice Address - Street 1:1319 CHARLISAS WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7710
Practice Address - Country:US
Practice Address - Phone:210-355-6020
Practice Address - Fax:210-878-4017
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01100024235Z00000X
TX16584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist