Provider Demographics
NPI:1255926309
Name:POSADA, KATHRYN ELAIN (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELAIN
Last Name:POSADA
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 KINGS CANYON DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5733
Mailing Address - Country:US
Mailing Address - Phone:405-650-2668
Mailing Address - Fax:405-594-7420
Practice Address - Street 1:340 KINGS CANYON DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-5733
Practice Address - Country:US
Practice Address - Phone:405-650-2668
Practice Address - Fax:405-594-7420
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
OK14293885235Z00000X
OKSP5546235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist