Provider Demographics
NPI:1770743619
Name:GLOGOWSKI, KATE LEA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:LEA
Last Name:GLOGOWSKI
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 1:1002 E. KENTUCKY AVENE
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-2549
Mailing Address - Country:US
Mailing Address - Phone:515-664-7970
Mailing Address - Fax:
Practice Address - Street 1:1002 E KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-3808
Practice Address - Country:US
Practice Address - Phone:515-664-7970
Practice Address - Fax:515-664-7970
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01615235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist