Provider Demographics
NPI:1457642084
Name:MCLENDON, CATHRYN H (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:H
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22495 LINDY TER
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-9416
Mailing Address - Country:US
Mailing Address - Phone:405-657-7909
Mailing Address - Fax:
Practice Address - Street 1:22495 LINDY TER
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73025-9416
Practice Address - Country:US
Practice Address - Phone:405-657-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-30
Last Update Date:2011-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3675235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist