Provider Demographics
NPI:1003062779
Name:POLLARD, KATHERINE SOTO
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SOTO
Last Name:POLLARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681271
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78268-1271
Mailing Address - Country:US
Mailing Address - Phone:210-520-1723
Mailing Address - Fax:210-520-1724
Practice Address - Street 1:301 E YUMA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1388
Practice Address - Country:US
Practice Address - Phone:210-520-1723
Practice Address - Fax:210-520-1724
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17791235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist