Katie Carreon, M.A. CCC-SLP
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1760655815
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1760655815
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katie Carreon
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2008
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 103225 | TX | Yes |
Other names
- Katie Boyle (Former Name)
Practice location
8961 Tesoro Dr Ste 500San Antonio, TX 78217-6209
Phone 210-407-0000
Mailing address
902 Steubing OaksSan Antonio, TX 78258-4264
Phone 708-935-1849
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