Individual
MISS CATHERINE ANNE BOTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
114 TALAVERA PKWY APT 934, SAN ANTONIO, TX 78232-1057
(210) 287-7974
(210) 493-2207
Mailing address
114 TALAVERA PKWY APT 934, SAN ANTONIO, TX 78232-1057
(210) 287-7974
(210) 493-2207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528504
BCBS TEXAS
TX
Enumeration date
11/23/2006
Last updated
07/09/2007
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