Provider Demographics
NPI:1225209943
Name:WALTER, KATHRYN JANE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:JANE
Last Name:WALTER
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:5300 TALLMAN AVE NW
Mailing Address - Street 2:REHABILITATION SERVICES
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3932
Mailing Address - Country:US
Mailing Address - Phone:206-781-6346
Mailing Address - Fax:206-781-6191
Practice Address - Street 1:5300 TALLMAN AVE NW
Practice Address - Street 2:REHABILITATION SERVICES
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3932
Practice Address - Country:US
Practice Address - Phone:206-781-6346
Practice Address - Fax:206-781-6191
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WALL00002927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist