MEDICARE: MS. KATHLEEN K. CURRIN M.ED., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2595	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	139C4	OTHER	NC	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1770617136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN K. CURRIN M.ED., CCC-SLP

Provider Business Mailing Address
First Line	:	319 CHAPANOKE RD
Second Line	:	SUITE 101
City	:	RALEIGH
State	:	NC
Zip	:	27603-3433
Country	:	US
Telephone Number	:	919-662-4600
Fax Number	:	919-662-4473

Provider Business Practice Location Address
First Line	:	319 CHAPANOKE RD
Second Line	:	SUITE 101
City	:	RALEIGH
State	:	NC
Zip	:	27603-3433
Country	:	US
Telephone Number	:	919-662-4600
Fax Number	:	919-662-4473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. KATHLEEN K. CURRIN M.ED., CCC-SLP” Practice Location

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