Katie Miranda Lemley, SLP

Individual provider Active NPI Speech-Language Pathologist · Beverly, OH

NPI 1154699510 · NPPES record last updated Nov 2, 2018

Key facts

NPI
1154699510
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
COND2011099 (OH)
Practice address
510 5TH St
Beverly, OH 45715-8916
Phone
(740) 984-2371
NPI assigned
Dec 13, 2011
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

State licenses

LicenseStateTypeSpecialty
COND2011099OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND2011099 OH Yes

Addresses

Primary practice location

510 5TH St
Beverly, OH 45715-8916

Mailing address

73 2ND St
Vincent, OH 45784-5014
Phone (740) 678-2499

Other providers in Beverly, OH

All providers in Beverly, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.