Provider Demographics
NPI:1508886862
Name:STRENGTH, KATHERINE ELAINE (MA SLP CCC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELAINE
Last Name:STRENGTH
Suffix:
Gender:F
Credentials:MA SLP CCC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELAINE
Other - Last Name:BENFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA SLP-CCC
Mailing Address - Street 1:105 WINTERBERRY DR.
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606
Mailing Address - Country:US
Mailing Address - Phone:706-389-2950
Mailing Address - Fax:706-389-2951
Practice Address - Street 1:1230 BAXTER ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3712
Practice Address - Country:US
Practice Address - Phone:706-389-2950
Practice Address - Fax:706-389-2951
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005809235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003133488AOtherCIS NUMBER
12025668OtherNATIONAL ASHA
GA016408833AMedicaid
GASLP005809OtherSTATE LICENSE