MEDICARE: CATHERINE M GORMAN 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	1889	KS
2	235Z00000X	Speech-Language Pathologist	114016	MO

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	:	1386728723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE M GORMAN SLP

Provider Business Mailing Address
First Line	:	5620 W 85TH TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-1656
Country	:	US
Telephone Number	:	913-481-4527
Fax Number	:

Provider Business Practice Location Address
First Line	:	5620 W 85TH TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-1656
Country	:	US
Telephone Number	:	913-481-4527
Fax Number	:

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/04/2025

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Directions to “ CATHERINE M GORMAN SLP” Practice Location

Language	Start Address	Practice Location

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