| Doctor Name: | MISS KATHERINE GALLO GLICK |
| NPI Number: | 1558576710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP/L |
| License Number: | ASHA 12126404 |
| Business Practice Address: | 7540 Sawmill Parkway Suite A-2 Powell, OH - 430659845 |
| Business Phone Number: | 6145707252 |
| Business Fax Number: | 6148409310 |
| Mailing Address: | 7540 Sawmill Parkway, Suite A-2 POWELL |
| State: | OH |
| Postal Code: | 430659845 |
| Phone Number: | 6145707252 |
| Fax Number: | 6148409310 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | ASHA 12126404 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |