Provider Demographics
NPI:1083126312
Name:MORE, CATHERINE MAGGARD (SLP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MAGGARD
Last Name:MORE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 SIGMA RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4445
Mailing Address - Country:US
Mailing Address - Phone:972-630-6398
Mailing Address - Fax:
Practice Address - Street 1:4300 SIGMA RD STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4445
Practice Address - Country:US
Practice Address - Phone:972-630-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107319235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist