MEDICARE: MRS. KATHERINE K MCATEE MS CCC SLP

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2202004464	VA

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	007328	OTHER	ANTHEM BLUE CROSS GROUP
2	105325	OTHER	ANTHEM BLUE CROSS
3	4980093	OTHER	VIRGINIA PREMIER HEALTH P
4	5275769	OTHER	AETNA GROUP
5	7793549	OTHER	AETNA
6	6400313	OTHER	UNITED HEALTH CARE
7	11454089	OTHER	CAQH
8	350034	OTHER	OPTIMA GROUP
9	35062	OTHER	OPTIMA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1831170810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE K MCATEE MS CCC SLP

Provider Business Mailing Address
First Line	:	818 NEWTOWN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1116
Country	:	US
Telephone Number	:	757-473-8016
Fax Number	:	757-473-3580

Provider Business Practice Location Address
First Line	:	818 NEWTOWN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1116
Country	:	US
Telephone Number	:	757-473-8016
Fax Number	:	757-473-3580

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

802 NEWTOWN RD
VIRGINIA BEACH, VA
23462-1116

Practice Phone: 757-497-0606
Practice Fax: 757-497-0411

818 NEWTOWN RD
VIRGINIA BEACH, VA
23462-1116