Provider Demographics
NPI:1114193059
Name:SCHWARTZ, KATHARINE S (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:S
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 PINE NEEDLES TRL
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3354
Mailing Address - Country:US
Mailing Address - Phone:423-894-8024
Mailing Address - Fax:
Practice Address - Street 1:1826 PINE NEEDLES TRL
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3354
Practice Address - Country:US
Practice Address - Phone:423-894-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP 0000002282235Z00000X
GASLP004693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1504956Medicaid