Kathryn P Wong, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10127 Issued in CA

Practice address

4546 El Camino Real
Suite 218
Los Altos, CA 94022-1099

Phone

(650) 245-7170

NPI assigned

Mar 21, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598724205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 RICH AVE",
            "address_2": "APT. #3",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402472",
            "telephone_number": "650-245-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "SUITE 218",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221099",
            "telephone_number": "650-245-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KATHRYN",
        "middle_name": "P",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2344108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "107984",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "SP0101270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Shao Withers, M.D.
• Beth Wolff, LPCC #15374
• Lacona Woltmon, LMFT
• Dana C. Won, MD
• Jason Ma Wong, MPT
• Katrina Lee Wong, DPT
• Kirstin Woo, MD
• Barbara D Wood, DC
• Rick L Woodland
• Woodside Chiropractic

• Speech-Language Pathologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.