Provider Demographics
NPI:1427129212
Name:CLEMENTS, CATHERINE ROWE (MED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ROWE
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3439 NAVAHO TRL SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4544
Mailing Address - Country:US
Mailing Address - Phone:770-437-1311
Mailing Address - Fax:770-437-1084
Practice Address - Street 1:3439 NAVAHO TRL SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4544
Practice Address - Country:US
Practice Address - Phone:770-437-1311
Practice Address - Fax:770-437-1084
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist