Provider Demographics
NPI:1487697082
Name:MCATEER, KATHRYN M (MA,CCC/SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:MCATEER
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 1:3740 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-3202
Mailing Address - Country:US
Mailing Address - Phone:478-960-0520
Mailing Address - Fax:478-960-0520
Practice Address - Street 1:3740 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-3202
Practice Address - Country:US
Practice Address - Phone:478-960-0520
Practice Address - Fax:478-960-0520
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist