Individual
KATHERINE WAYE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15 HOLWELL ST, PORTLAND, ME 04103-4418
(617) 939-6333
Mailing address
15 HOLWELL ST, PORTLAND, ME 04103-4418
(617) 939-6333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
305442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12086938
ASHA
—
01
—
305442
MASS. STATE LICENSURE
MA
01
—
SP1985
MAINE STATE LICENSURE
ME
Enumeration date
10/17/2007
Last updated
08/13/2024
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