Provider Demographics
NPI:1366768673
Name:TOTH, KATHLEEN MARIE (MA-CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:MARIE
Last Name:TOTH
Suffix:
Gender:F
Credentials:MA-CCC/SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:395 S SHORE DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5466
Mailing Address - Country:US
Mailing Address - Phone:269-660-1025
Mailing Address - Fax:269-660-1588
Practice Address - Street 1:395 S SHORE DR
Practice Address - Street 2:SUITE 310
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5466
Practice Address - Country:US
Practice Address - Phone:269-660-1025
Practice Address - Fax:269-660-1588
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003898123OtherNPI FOR SOUTH SHORE SPEECH, LLC