MEDICARE: KATHERINE MARX 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	3902	KS

General Provider Information

NPI Number	:	1942088687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MARX CCC-SLP

Provider Business Mailing Address
First Line	:	6711 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-2442
Country	:	US
Telephone Number	:	816-286-4748
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-2442
Country	:	US
Telephone Number	:	816-286-4748
Fax Number	:	913-601-8176

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

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	09/14/2023

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Directions to “ KATHERINE MARX CCC-SLP” Practice Location

Language	Start Address	Practice Location

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