Provider Demographics
NPI:1396065553
Name:ROGERS, KATHRYN MICHAEL (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MICHAEL
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-0897
Mailing Address - Country:US
Mailing Address - Phone:715-369-2215
Mailing Address - Fax:715-369-2214
Practice Address - Street 1:705 E TIMBER DR
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-2859
Practice Address - Country:US
Practice Address - Phone:715-369-2215
Practice Address - Fax:715-369-2214
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3550-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist