Provider Demographics
NPI:1457666323
Name:SHEPARD, KATHERINE LYNN (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LYNN
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13520 ASHBURY DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8225
Mailing Address - Country:US
Mailing Address - Phone:317-748-4237
Mailing Address - Fax:
Practice Address - Street 1:83 W WESTFIELD BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-1543
Practice Address - Country:US
Practice Address - Phone:317-748-4237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist