Provider Demographics
NPI:1922673011
Name:GLASPIE, KATELYN ELIZABETH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:ELIZABETH
Last Name:GLASPIE
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 1:22902 MICHIGAN TRL
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-1623
Mailing Address - Country:US
Mailing Address - Phone:660-342-6106
Mailing Address - Fax:
Practice Address - Street 1:22902 MICHIGAN TRL
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-1623
Practice Address - Country:US
Practice Address - Phone:660-342-6106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021004984235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist