Provider Demographics
NPI:1346822475
Name:WHITNEY, KATELYN (MA)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:LOIS
Other - Last Name:DRAPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3109 W 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2003
Mailing Address - Country:US
Mailing Address - Phone:615-973-4132
Mailing Address - Fax:
Practice Address - Street 1:8101 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1104
Practice Address - Country:US
Practice Address - Phone:303-337-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0000756235Z00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program