Provider Demographics
NPI:1871509257
Name:ROMMEL, KATHERINE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:ROMMEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3090 GLENGARRY DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1227
Mailing Address - Country:US
Mailing Address - Phone:937-499-1720
Mailing Address - Fax:937-499-1739
Practice Address - Street 1:3090 GLENGARRY DR
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1227
Practice Address - Country:US
Practice Address - Phone:937-499-1720
Practice Address - Fax:937-499-1739
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6254235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist