Provider Demographics
NPI:1255506770
Name:MOSELEY, CATHY JEAN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:JEAN
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 W 66TH TER
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66208-1813
Mailing Address - Country:US
Mailing Address - Phone:913-432-3430
Mailing Address - Fax:
Practice Address - Street 1:7620 METCALF AVE
Practice Address - Street 2:SUITE M
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2928
Practice Address - Country:US
Practice Address - Phone:913-383-9014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS559235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist