Katherine Fife – Speech-Language Pathologist

Key facts

NPI: 1720403157
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SP-2892 (OH)
Practice address: 38720 Saltwell Rd
Lisbon, OH 44432-8303
Phone: (330) 424-9591
NPI assigned: Feb 21, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Columbiana County Educational Service Center Local Education Agency (LEA) · Lisbon, OH · NPI 1346480084

NPD (past)

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
SP-2892	OH	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Columbiana County Educational Service Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SP-2892	OH	Yes

Addresses

Primary practice location

38720 Saltwell Rd
Lisbon, OH 44432-8303

Mailing address

38720 Saltwell Rd
Lisbon, OH 44432-8303

Other identifiers

Identifier	Type	State	Issuer
01026595	Other		AMERICAN SPEECH-LANGUAGE-HEARING ASSOC MEMBER NUMBER

Other providers in Lisbon, OH

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2014. 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.

Verify at the official NPI Registry.