Kathryn Simone Risner-Jacox, M. S.
Speech-Language Pathologist, in Dallas, TX. Individual provider (NPI-1).
NPI number1063256972
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1063256972
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Simone Risner-Jacox
- Credential
- M. S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2024
- Certification date
- Jun 24, 2024
- Last updated
- Jun 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 122552 | TX | Yes |
Practice location
14651 Dallas Pkwy Ste 200Dallas, TX 75254-8856
Phone 866-919-3240 · Fax 877-300-7394
Mailing address
14651 Dallas Pkwy Ste 200Dallas, TX 75254-8856
Phone 866-919-3240 · Fax 877-300-7394
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