Katelyn Bocken
Individual provider Active NPI Speech-Language Pathologist · Coralville, IA
NPI 1124775952 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1124775952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 112787 (IA)
- Practice address
- 2350 Oakdale Blvd
Coralville, IA 52241-9702 - Phone
- (319) 351-5437
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112787 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Childserve Clinic Inc | Past |
Accepting new patients | |
| Childserve Therapy, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 112787 | IA | Yes |
Addresses
Primary practice location
2350 Oakdale Blvd
Coralville, IA 52241-9702
Mailing address
5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone (515) 331-4530
Other providers in Coralville, IA
- Amanda Lynn Bizub
- Kim Blackwell
- Hailey Blythe
- Allison M Boardman
- Erica Lynn Bobst
- Troy Bockenstedt
- Makenzie Morgan Boersma
- Bonde Counseling Service Inc
- Victoria Lynn Booth
- Margaret L Bouska
All providers in Coralville, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.