Individual
KATHERINE KELLY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 LAKE DR W, THOMASVILLE, NC 27360-2625
(510) 599-7275
Mailing address
802 LAKE DR W, THOMASVILLE, NC 27360-2625
(510) 599-7275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12358
NC
Other
Enumeration date
02/05/2026
Last updated
04/15/2026
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