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Individual

CAROL PATTESON HEBERT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3049 36TH ST, PORT ARTHUR, TX 77642-5412
(409) 983-1651
(409) 983-1043
Mailing address
3049 36TH ST, PORT ARTHUR, TX 77642-5412
(409) 983-1651
(409) 983-1043

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15280
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0933135
CIGNA HEALTHCARE OF TX
TX
01
15476
UTMB - CHIPS
TX
01
746012298001
HUMANA MILITARY HEALTHCAR
TX
01
87216T
BLUECROSS BLUESHIELD TX
TX
Enumeration date
08/16/2005
Last updated
07/09/2007
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