Katharina Lara Davis, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007669 Issued in MI

Practice address

91 Cross Timbers St
Oxford, MI 48371-4701

Phone

(248) 214-0983

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katharina Lara Bertig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Talk Out Loud LLC

  • Speech-Language Pathologist
  • Rochester Hills, MI
  • NPI 1275003758
  NPD

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1760136667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CROSS TIMBERS ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714701",
            "telephone_number": "248-214-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CROSS TIMBERS ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714701",
            "telephone_number": "248-214-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHARINA",
        "middle_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61219960",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINA",
            "last_name": "BERTIG",
            "middle_name": "LARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lyndsi Michele Davenport, DO
• Donald Gregory Davidson, RPH
• Karshibia Davidson, MS, LPC, NCC
• Timothy Scott Davidson, RPH
• Cara Lyn Davis
• Robin Davis
• Adam Anthony Deangelis
• Brooke Chelsea Deel, LMSW
• Dania Demashkieh
• Abbey Jean Deprekel, LLMSW

• Speech-Language Pathologist in Oxford, MI
• Providers in Oxford, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.