Provider Demographics
NPI:1982332896
Name:SCHABEL, KATHRYN ALISON (SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ALISON
Last Name:SCHABEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 GLENDERRY LN
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3050
Mailing Address - Country:US
Mailing Address - Phone:972-955-1967
Mailing Address - Fax:
Practice Address - Street 1:616 W MCLEROY BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1404
Practice Address - Country:US
Practice Address - Phone:817-232-2071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist