MEDICARE: MRS. KATHERINE O'HARE M.S., 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	09363	MD

General Provider Information

NPI Number	:	1932720380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE O'HARE M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3375 ELLICOTT CENTER DRIVE #739
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21041
Country	:	US
Telephone Number	:	443-280-9764
Fax Number	:

Provider Business Practice Location Address
First Line	:	3375 ELLICOTT CENTER DRIVE #739
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21041
Country	:	US
Telephone Number	:	443-280-9764
Fax Number	:

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

Provider Enumeration Date	:	04/27/2020
Last Update Date	:	03/11/2026

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Directions to “ MRS. KATHERINE O'HARE M.S., CCC-SLP” Practice Location

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