Provider Demographics
NPI:1356686125
Name:MEYER, KATHRYN F (MAT, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:F
Last Name:MEYER
Suffix:
Gender:F
Credentials:MAT, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13541 STATE ROUTE 374
Mailing Address - Street 2:
Mailing Address - City:ROCKBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43149-9525
Mailing Address - Country:US
Mailing Address - Phone:740-385-1015
Mailing Address - Fax:
Practice Address - Street 1:13541 STATE ROUTE 374
Practice Address - Street 2:
Practice Address - City:ROCKBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43149-9525
Practice Address - Country:US
Practice Address - Phone:740-385-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP0375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist