MEDICARE: KATHERINE ANN LOHSE 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	:	1487144234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANN LOHSE SLP

Provider Business Mailing Address
First Line	:	12110 CLAYTON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2599
Country	:	US
Telephone Number	:	314-989-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4531 WEBER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-5700
Country	:	US
Telephone Number	:	314-256-8639
Fax Number	:

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

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/17/2018

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Directions to “ KATHERINE ANN LOHSE SLP” Practice Location

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