Healthcare Provider Details

I. General information

NPI: 1649198359
Provider Name (Legal Business Name): KATHERINE ANN SCHOOLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E MANSION ST
MARSHALL MI
49068-1117
US

IV. Provider business mailing address

103 E MANSION ST
MARSHALL MI
49068-1117
US

V. Phone/Fax

Practice location:
  • Phone: 269-789-8990
  • Fax:
Mailing address:
  • Phone: 269-789-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001427
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: