Provider Demographics
NPI:1467576587
Name:CHASE, KATERILYNN ERIN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATERILYNN
Middle Name:ERIN
Last Name:CHASE
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 1:1120 ROYAL DRIVE
Mailing Address - Street 2:APT. 246
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129
Mailing Address - Country:US
Mailing Address - Phone:724-622-0437
Mailing Address - Fax:
Practice Address - Street 1:2510 BALDWICK ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4104
Practice Address - Country:US
Practice Address - Phone:412-922-8322
Practice Address - Fax:412-922-8751
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008477235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist