Katherine Vickery, MS, CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Campobello, SC
NPI 1992333561 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1992333561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2157 (SC)
- Practice address
- 325 Motlow School Rd
Campobello, SC 29322-9675 - Phone
- (864) 472-8120
- NPI assigned
- Mar 30, 2020
- 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 |
|---|---|---|---|
| 2157 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2157 | SC | Yes |
Addresses
Primary practice location
325 Motlow School Rd
Campobello, SC 29322-9675
Mailing address
302 Cherry Hill Rd
Greenville, SC 29607-5412
Phone (864) 979-0894
Other providers in Campobello, SC
- Leslie Allison Shields
- Caroline Skellie
- Southeast Regional Virtual Imaging Consulting Enterprise PA
- Spartanburg County District One Schools
- Spartanburg School District One
- Kenna Riley Watson
All providers in Campobello, 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 Mar 30, 2020. 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.