Individual
MS. KATHRYN BETH ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5150 CAMBRIDGE LN APT 6, MT PLEASANT, MI 48858-7168
(989) 854-2058
Mailing address
5150 CAMBRIDGE LN APT 6, MT PLEASANT, MI 48858-7168
(989) 854-2058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001354
MI
235Z00000X
Speech-Language Pathologist
ASHA 01008867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40-4683793
—
MI
01
—
7101001354
STATE OF MICHIGAN LICENSE
MI
01
—
ASHA 01008867
ASHA NUMBER
MI
Enumeration date
09/28/2006
Last updated
01/30/2025
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