Provider Demographics
NPI:1386728723
Name:GORMAN, CATHERINE M (SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:GORMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:BOWDERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:5620 W 85TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-1656
Mailing Address - Country:US
Mailing Address - Phone:913-481-4527
Mailing Address - Fax:
Practice Address - Street 1:5620 W 85TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-1656
Practice Address - Country:US
Practice Address - Phone:913-481-4527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1889235Z00000X
MO114016235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO463903526Medicaid
MO463903518Medicaid