Provider Demographics
NPI:1366528994
Name:CADLE, KATHERINE R (AUD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:R
Last Name:CADLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:R
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:707 WHITLOCK AVE SW
Mailing Address - Street 2:SUITE A36
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3000
Mailing Address - Country:US
Mailing Address - Phone:770-427-3033
Mailing Address - Fax:770-427-3035
Practice Address - Street 1:707 WHITLOCK AVE SW
Practice Address - Street 2:SUITE A36
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3000
Practice Address - Country:US
Practice Address - Phone:770-427-3033
Practice Address - Fax:770-427-3035
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA324231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist