Individual
KATHRYN COLE PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9919 TOWNE RD, CARMEL, IN 46032-8260
(317) 872-4166
Mailing address
11425 DONA DR, CARMEL, IN 46033-4464
(317) 373-4385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006030A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003060A
IN LICENSE
IN
Enumeration date
02/01/2022
Last updated
02/01/2022
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