Provider Demographics
NPI:1306415054
Name:MCNEILLY, KATHERINE ELISE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ELISE
Last Name:MCNEILLY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 WASHINGTON RD STE 1010
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2500
Mailing Address - Country:US
Mailing Address - Phone:724-941-4434
Mailing Address - Fax:724-941-4714
Practice Address - Street 1:2539 WASHINGTON RD STE 1010
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2500
Practice Address - Country:US
Practice Address - Phone:724-941-4434
Practice Address - Fax:724-941-4714
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006734231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist