Individual ProviderKatelyn RichSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address502 Madison Oak Dr, San Antonio, TX 78258-4084(806) 543-8570PECOS EnrollmentBased on the most recent information from CMS, provider Katelyn Rich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518365444Provider TypeIndividualFull NameRich, KatelynGenderFemaleSole ProprietorNoEnumeration Date12/9/2014Last Updated12/9/2014Contact InformationPractice LocationPractice Address502 Madison Oak Dr, San Antonio, TX 78258-4084Phone(806) 543-8570FaxUnlisted FaxMailing LocationMailing AddressPO Box 782571, San Antonio, TX 78278-2571PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense109942Texas