Katelyn Board, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rock Hill, SC
NPI 1972230548 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1972230548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2685 Celanese Rd Ste 105
Rock Hill, SC 29732-2994 - Phone
- (803) 661-5033
- Fax
- (864) 643-2327
- NPI assigned
- Aug 4, 2022
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
2685 Celanese Rd Ste 105
Rock Hill, SC 29732-2994
Mailing address
2685 Celanese Rd Ste 105
Rock Hill, SC 29732
Phone (803) 372-8415
Other names
- Katelyn Wilk
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All providers in Rock Hill, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. 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.