Individual ProviderHailee GothardSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address21126 Market Rdg, San Antonio, TX 78258-4984(210) 953-7010PECOS EnrollmentBased on the most recent information from CMS, provider Hailee Gothard 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 ID1972283471Provider TypeIndividualFull NameGothard, HaileeCredentialM.S., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date7/19/2023Last Updated7/19/2023Contact InformationPractice LocationPractice Address21126 Market Rdg, San Antonio, TX 78258-4984Phone(210) 953-7010FaxUnlisted FaxMailing LocationMailing Address21126 Market Rdg, San Antonio, TX 78258-4984Phone(210) 953-7010FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense14418386Texas