Provider Demographics
NPI:1043453319
Name:MERCER, KATHRYN FLURRY (SLP- CCC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:FLURRY
Last Name:MERCER
Suffix:
Gender:F
Credentials:SLP- CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 E WHITESTONE BLVD
Mailing Address - Street 2:BLDG 2, STE 100
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2210
Mailing Address - Country:US
Mailing Address - Phone:512-444-3300
Mailing Address - Fax:512-444-3311
Practice Address - Street 1:1460 E WHITESTONE BLVD
Practice Address - Street 2:BLDG 2, STE 100
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2210
Practice Address - Country:US
Practice Address - Phone:512-444-3300
Practice Address - Fax:512-444-3311
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist