Provider Demographics
NPI:1598501595
Name:ROWLETT, KATHRYN J (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:J
Last Name:ROWLETT
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10204 LOMA DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-4174
Mailing Address - Country:US
Mailing Address - Phone:865-603-4733
Mailing Address - Fax:
Practice Address - Street 1:10204 LOMA DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-4174
Practice Address - Country:US
Practice Address - Phone:865-603-4733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003884235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist