Blanton, Katrina

Blanton, Katrina is an sole proprietor health care provider with primary practice located at 150 Willow Creek Dr , Weatherford TX 76085-3651. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Blanton, Katrina can be contacted via phone (817) 550-5058.

Contact Information

Primary practice address
150 Willow Creek Dr Weatherford TX 76085-3651
Phone: (817) 550-5058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 35914 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 108893 Texas

Profile Details

NPI number 1811292519
LBN Legal business name Blanton, Katrina
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2011
Last updated Sep 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811292519 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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