MEDICARE: WESTERN CAROLINA UNIVERSITY

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	1429	NC
2	235Z00000X	Speech-Language Pathologist	2693	NC
3	235Z00000X	Speech-Language Pathologist	721	NC
4	231H00000X	Audiologist	5214	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053337048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN CAROLINA UNIVERSITY

Provider Business Mailing Address
First Line	:	WESTERN CAROLINA UNIVERSITY SPEECH AND HEARING CLINIC
Second Line	:	3971 LITTLE SAVANNAH RD. RM 132
City	:	CULLOWHEE
State	:	NC
Zip	:	28723
Country	:	US
Telephone Number	:	828-227-7251
Fax Number	:	828-227-7456

Provider Business Practice Location Address
First Line	:	WESTERN CAROLINA UNIVERSITY SPEECH AND HEARING CLINIC
Second Line	:	3971 LITTLE SAVANNAH RD. RM 132
City	:	CULLOWHEE
State	:	NC
Zip	:	28723
Country	:	US
Telephone Number	:	828-227-7251
Fax Number	:	828-227-7456

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	MACHELLE CATHEY
Credential	:
Telephone Number	:	828-776-4106

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/14/2025

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Directions to “WESTERN CAROLINA UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

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