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NPI Code Detail

MEDICARE: KATHERINE THYGESEN M.S., CCC-SLP

MEDICARE: KATHERINE THYGESEN M.S., 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
1235Z00000XSpeech-Language Pathologist30003677NC

General Provider Information

NPI Number : 1801473343
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE THYGESEN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 808 BACON ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-5006
Country : US
Telephone Number : 919-560-2000
Fax Number :
Provider Business Practice Location Address
First Line : 808 BACON ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-5006
Country : US
Telephone Number : 919-560-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 06/01/2026

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Directions to “ KATHERINE THYGESEN M.S., CCC-SLP” Practice Location

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