Provider Demographics
NPI:1336520154
Name:WAPLES, KATELYN RENEE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:RENEE
Last Name:WAPLES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:RENEE
Other - Last Name:MELVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:9347 WHITE OAK ROAD
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:43143
Mailing Address - Country:US
Mailing Address - Phone:740-490-8157
Mailing Address - Fax:
Practice Address - Street 1:9347 WHITE OAK ROAD
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:OH
Practice Address - Zip Code:43143
Practice Address - Country:US
Practice Address - Phone:404-908-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13518235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist