Provider Demographics
NPI:1346572724
Name:MCLAUGHLIN, KATHRYN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:PO BOX D
Mailing Address - Street 2:
Mailing Address - City:REDDING RIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06876-0132
Mailing Address - Country:US
Mailing Address - Phone:203-360-2879
Mailing Address - Fax:
Practice Address - Street 1:205 POVERTY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-2609
Practice Address - Country:US
Practice Address - Phone:203-360-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12073383235Z00000X
CT003834235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist