Provider Demographics
NPI:1558004176
Name:GARRETT, CATHERINE JEAN (BS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:JEAN
Other - Last Name:BELLRICHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:5348 GLADE LN
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4494
Mailing Address - Country:US
Mailing Address - Phone:817-713-4710
Mailing Address - Fax:
Practice Address - Street 1:5348 GLADE LN
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4494
Practice Address - Country:US
Practice Address - Phone:817-713-4710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13939235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist