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NPI Code Detail

MEDICARE: KATHERINE A WHALEN

MEDICARE: KATHERINE A WHALEN
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
1235Z00000XSpeech-Language Pathologist9506SC

General Provider Information

NPI Number : 1588529754
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A WHALEN
Provider Business Mailing Address
First Line : 221 BAYFRONT DR UNIT 223
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-1825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1127 QUEENSBOROUGH BLVD STE 104
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-5431
Country : US
Telephone Number : 843-216-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 03/23/2026

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Directions to “ KATHERINE A WHALEN ” Practice Location

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