MEDICARE: MS. KATHLEEN ANDERSON MAT-SLP-CCC

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	964173	NC

General Provider Information

NPI Number	:	1952243867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN ANDERSON MAT-SLP-CCC

Provider Business Mailing Address
First Line	:	11801 N EXETER WAY
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-7810
Country	:	US
Telephone Number	:	919-616-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 FOX RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6353
Country	:	US
Telephone Number	:	919-850-8845
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

Similar Medicare Providers

1386143980 — MORGAN SILL HENIS L.AC.
Practice Location Address:

5923 REEDY CREEK RD
RALEIGH, NC
27607-6353

Practice Phone: 507-254-3414
Practice Fax:

1255272993 — DR. KENSLEIGH G DAVIS OTR/L, OTD
Practice Location Address:

2722 SPRING FOREST RD
RALEIGH, NC
27616-1977

Practice Phone: 919-863-7770
Practice Fax:

1982546297 — DUROPATH LLC
Practice Location Address:

1205 DIMAGGIO DR
RALEIGH, NC
27616-7239

Practice Phone: 312-767-7677
Practice Fax:

1689517336 — CHRISTIAN A WILKERSON LCSWA
Practice Location Address:

4805 GREEN RD STE 103
RALEIGH, NC
27616-2848

Practice Phone: 919-872-6220
Practice Fax: 919-872-6223

1841133444 — CHRISTINA E. CARLISLE
Practice Location Address:

4805 GREEN RD STE 103
RALEIGH, NC
27616-2848

Practice Phone: 919-872-6220
Practice Fax: 919-872-6223

1528500196 — DONNA BYRD LPN
Practice Location Address:

5800 MCHINES PL , SUITE 120
RALEIGH, NC
27616-1953

Practice Phone: 919-981-0790
Practice Fax: 919-981-0135

Directions to “ MS. KATHLEEN ANDERSON MAT-SLP-CCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.