Katherine Howson Cully, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Hanover, MA

NPI 1124584040 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1124584040
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7724 (MA)
Practice address
61 Laurie LN
Hanover, MA 02339-2714
Phone
(508) 612-3831
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7724MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7724 MA Yes

Addresses

Primary practice location

61 Laurie LN
Hanover, MA 02339-2714

Mailing address

19 Hillcrest Dr
Pembroke, MA 02359-2012
Phone (508) 612-3831

Other providers in Hanover, MA

All providers in Hanover, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.