Doctor Name: | KATHERINE MCDONNELL |
NPI Number: | 1760743041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, SLP |
License Number: | SLP008147 |
Business Practice Address: | 2365 Old Milton Pkwy Suite 300 Alpharetta, GA - 300092140 |
Business Phone Number: | 7707401860 |
Business Fax Number: | |
Mailing Address: | 2365 Old Milton Pkwy, Suite 300 ALPHARETTA |
State: | GA |
Postal Code: | 300092140 |
Phone Number: | 7707401860 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |