Provider Demographics
NPI:1114474749
Name:GERARD, CHRISTINE M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:M
Last Name:GERARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13359 N HIGHWAY 183 STE 406-540
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-7153
Mailing Address - Country:US
Mailing Address - Phone:318-598-1788
Mailing Address - Fax:
Practice Address - Street 1:13359 N HIGHWAY 183 STE 406-540
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-7153
Practice Address - Country:US
Practice Address - Phone:318-598-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6663235Z00000X
CA22773235Z00000X
OR15489235Z00000X
TX111019235Z00000X
GASLP009135235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist