Kathie-Lee Petsch, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA21549 Issued in FL

Practice address

205 SE 27TH St
Cape Coral, FL 33904-2770

Phone

(393) 850-8452

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1295517217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE 27TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042770",
            "telephone_number": "239-385-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE 27TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042770",
            "telephone_number": "393-850-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSCH",
        "first_name": "KATHIE-LEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haniel Perugorria
• Dirk Peterson, M.D.
• Kenya Peterson
• Revonda D Peterson, ARNP
• Erica Petithomme
• Nathan Samuel Pettit, MS, LMHC, MCAP
• Gabrielle Pfeffer
• Ngoc Han Thi Pham, DPM
• Tan-Long Pham, MS, OD
• Thomas S Pham, MD

• Speech-Language Pathologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.