Provider Demographics
NPI:1922664002
Name:MCDONALD-COXEN, KATHERINE L (MS SLP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:MCDONALD-COXEN
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 LAUREL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-3134
Mailing Address - Country:US
Mailing Address - Phone:828-765-7312
Mailing Address - Fax:
Practice Address - Street 1:218 LAUREL CREEK CT
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-3134
Practice Address - Country:US
Practice Address - Phone:828-765-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13451235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist