Katie Alexander Willsey, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · New Cumberland, PA
NPI 1902025166 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1902025166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP1865 (AZ)
- Practice address
- 1401 Longfellow CT
New Cumberland, PA 17070-2234 - Phone
- (717) 695-7572
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1865 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1865 | AZ | Yes |
Addresses
Primary practice location
1401 Longfellow CT
New Cumberland, PA 17070-2234
Mailing address
1401 Longfellow CT
New Cumberland, PA 17070-2234
Phone (717) 695-7572
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980674 | Medicaid | AZ |
Other providers in New Cumberland, PA
- Abwe Inc.
- Margretta Johnson Ameigh
- Benjamin Burrner Anderson
- Brandon Regan Anderson
- Anesthesia Care Partners LLC
- Elizabeth Humes Appleby
All providers in New Cumberland, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. 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.