Provider Demographics
NPI:1154537769
Name:RATTERMAN, KATHERINE JULIA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JULIA
Last Name:RATTERMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1113
Mailing Address - Country:US
Mailing Address - Phone:502-777-1194
Mailing Address - Fax:502-749-0915
Practice Address - Street 1:2157 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1113
Practice Address - Country:US
Practice Address - Phone:502-777-1194
Practice Address - Fax:502-749-0915
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-3221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist