MEDICARE: KATHERINE ELAINE MCLARNON 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

General Provider Information

NPI Number	:	1023882644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ELAINE MCLARNON SLP

Provider Business Mailing Address
First Line	:	PO BOX 241889
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99524-1889
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 E BOGARD RD STE 1
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-7174
Country	:	US
Telephone Number	:	907-521-4566
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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Directions to “ KATHERINE ELAINE MCLARNON SLP” Practice Location

Language	Start Address	Practice Location

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