Katharine Berray, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Grayson, GA
NPI 1649862137 · NPPES record last updated Feb 6, 2021
Key facts
- NPI
- 1649862137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010652 (GA)
- Practice address
- 460 Grayson Pkwy
Grayson, GA 30017-1218 - Phone
- (703) 615-4415
- NPI assigned
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SLP010652 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010652 | GA | Yes |
Addresses
Primary practice location
460 Grayson Pkwy
Grayson, GA 30017-1218
Mailing address
2273 Limehurst Dr NE
Brookhaven, GA 30319-5725
Phone (703) 615-4415
Other providers in Grayson, GA
- Arlene M Barnick
- Erica Baruti
- Danielle Basile
- Be Well Wellness Company
- Michael Thomas Bergquist
- Franzetta V Bester
- Deborah K Beyenne
- Beyond Therapy, LLC
- Ancy Bobby
- Erin Nicole Boyce
All providers in Grayson, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2021. 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.