Provider Demographics
NPI:1700910718
Name:FLECK, CATHERINE L (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:FLECK
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 1:15402 EVERGREEN KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5804
Mailing Address - Country:US
Mailing Address - Phone:281-703-5820
Mailing Address - Fax:
Practice Address - Street 1:15402 EVERGREEN KNOLL LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5804
Practice Address - Country:US
Practice Address - Phone:281-703-5820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18833235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist