Provider Demographics
NPI:1699958702
Name:JAMES, KATHERINE (MS, CCC-SLP, CEIS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CEIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-6547
Mailing Address - Country:US
Mailing Address - Phone:617-629-3919
Mailing Address - Fax:617-629-4644
Practice Address - Street 1:61 MEDFORD ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-6547
Practice Address - Country:US
Practice Address - Phone:617-629-3919
Practice Address - Fax:617-629-4644
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist