Provider Demographics
NPI:1376530139
Name:RECTOR, KATHRYN L (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:L
Last Name:RECTOR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 HOLLOW TREE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2960
Mailing Address - Country:US
Mailing Address - Phone:412-889-4720
Mailing Address - Fax:
Practice Address - Street 1:1611 HOLLOW TREE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2960
Practice Address - Country:US
Practice Address - Phone:412-889-4720
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002050L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist