MEDICARE: MRS. KATHLEEN MARIE TOTH MA-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
1	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1003898123	OTHER		NPI FOR SOUTH SHORE SPEECH, LLC

General Provider Information

NPI Number	:	1366768673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHLEEN MARIE TOTH MA-CCC/SLP

Provider Business Mailing Address
First Line	:	395 S SHORE DR
Second Line	:	SUITE 310
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5466
Country	:	US
Telephone Number	:	269-660-1025
Fax Number	:	269-660-1588

Provider Business Practice Location Address
First Line	:	395 S SHORE DR
Second Line	:	SUITE 310
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5466
Country	:	US
Telephone Number	:	269-660-1025
Fax Number	:	269-660-1588

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

Provider Enumeration Date	:	04/12/2010
Last Update Date	:	04/12/2010

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Directions to “ MRS. KATHLEEN MARIE TOTH MA-CCC/SLP” Practice Location

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