Provider Demographics
NPI:1548572712
Name:MARKS, KATHRYN WENDLER (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:WENDLER
Last Name:MARKS
Suffix:
Gender:
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:ANN
Other - Last Name:WENDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:6004 GLEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6128
Mailing Address - Country:US
Mailing Address - Phone:502-417-0447
Mailing Address - Fax:
Practice Address - Street 1:6004 GLEN HILL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6128
Practice Address - Country:US
Practice Address - Phone:502-417-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293046235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist