Provider Demographics
NPI:1184986150
Name:DREW, CATHLEEN C (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:C
Last Name:DREW
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:MS
Other - First Name:CATHLEEN
Other - Middle Name:C
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:13723 KELLERTON LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2395
Mailing Address - Country:US
Mailing Address - Phone:281-304-0211
Mailing Address - Fax:
Practice Address - Street 1:13723 KELLERTON LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2395
Practice Address - Country:US
Practice Address - Phone:281-304-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist