Provider Demographics
NPI:1205214954
Name:DOBY, CATEY LYNN (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATEY
Middle Name:LYNN
Last Name:DOBY
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 KENTUCKY AVENUE
Mailing Address - Street 2:
Mailing Address - City:PANAMA
Mailing Address - State:OK
Mailing Address - Zip Code:74951
Mailing Address - Country:US
Mailing Address - Phone:918-963-0416
Mailing Address - Fax:918-963-4866
Practice Address - Street 1:1101 KENTUCKY AVENUE
Practice Address - Street 2:
Practice Address - City:PANAMA
Practice Address - State:OK
Practice Address - Zip Code:74951
Practice Address - Country:US
Practice Address - Phone:918-963-0416
Practice Address - Fax:918-963-4866
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4090235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist