Provider Demographics
NPI:1063989044
Name:FEHLHAFER, KATE (MS, CFY-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:
Last Name:FEHLHAFER
Suffix:
Gender:F
Credentials:MS, CFY-SLP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1095
Mailing Address - Country:US
Mailing Address - Phone:402-362-0436
Mailing Address - Fax:402-362-0493
Practice Address - Street 1:2222 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1095
Practice Address - Country:US
Practice Address - Phone:402-362-0436
Practice Address - Fax:402-362-0493
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE638235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist