Provider Demographics
NPI:1710564448
Name:HADDAX PEDIATRIC LANGUAGE CENTER
Entity Type:Organization
Organization Name:HADDAX PEDIATRIC LANGUAGE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:806-773-1320
Mailing Address - Street 1:126 E WALKER ST
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:76424-3692
Mailing Address - Country:US
Mailing Address - Phone:806-773-1320
Mailing Address - Fax:
Practice Address - Street 1:126 E WALKER ST
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:TX
Practice Address - Zip Code:76424-3692
Practice Address - Country:US
Practice Address - Phone:806-773-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KATHERINE KESSLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty