Provider Demographics
NPI:1942639224
Name:FLUHARTY, KATIE ANNE (MS/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:ANNE
Last Name:FLUHARTY
Suffix:
Gender:F
Credentials:MS/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:PO BOX 8060
Mailing Address - Street 2:1 MEDICAL CENTER DR.
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-8060
Mailing Address - Country:US
Mailing Address - Phone:304-598-4118
Mailing Address - Fax:304-598-4066
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-8060
Practice Address - Country:US
Practice Address - Phone:304-598-4118
Practice Address - Fax:304-598-4066
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-1413235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist