Provider Demographics
NPI:1770689762
Name:MAROFSKE, KATE ELIZABETH (MA CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:ELIZABETH
Last Name:MAROFSKE
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:ELIZABETH
Other - Last Name:WESTERHOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP/L
Mailing Address - Street 1:14080 HEARTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-7000
Mailing Address - Country:US
Mailing Address - Phone:773-919-9976
Mailing Address - Fax:
Practice Address - Street 1:14080 HEARTHWOOD DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46040-7000
Practice Address - Country:US
Practice Address - Phone:773-919-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007536235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist