Provider Demographics
NPI:1356214845
Name:MOLESH, KATHERINE KAY (SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KAY
Last Name:MOLESH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6833 NE BUCK LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HANSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98340-9705
Mailing Address - Country:US
Mailing Address - Phone:406-531-3437
Mailing Address - Fax:
Practice Address - Street 1:18360 CALDART AVE NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8775
Practice Address - Country:US
Practice Address - Phone:360-396-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61339879235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist