Provider Demographics
NPI:1588253918
Name:PIONTEK, KATHERINE DENISE (SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DENISE
Last Name:PIONTEK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:908 KINGSBURY CT
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-3421
Mailing Address - Country:US
Mailing Address - Phone:318-751-6428
Mailing Address - Fax:
Practice Address - Street 1:301 N KILGORE ST
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-5825
Practice Address - Country:US
Practice Address - Phone:903-988-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115933235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115933OtherSPEECH LANGUAGE PATHOLOGIST LICENSE -TEXAS
14360050OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
WYSP-1182OtherSTATE OF WYOMING BOARD OF SPEECH PATHOLOGISTS & AUDIOLOGISTS