Provider Demographics
NPI:1922575414
Name:EMERSON, KATHARINE G (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:G
Last Name:EMERSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:KATHARINE
Other - Middle Name:G
Other - Last Name:TERPSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:670 E 3900 S
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1973
Mailing Address - Country:US
Mailing Address - Phone:801-266-3979
Mailing Address - Fax:
Practice Address - Street 1:670 E 3900 S
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84107-1973
Practice Address - Country:US
Practice Address - Phone:801-266-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-18-69508106S00000X
TX119732235Z00000X
UT13327376-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician