Provider Demographics
NPI:1447986013
Name:RITTER, KATHIE G (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHIE
Middle Name:G
Last Name:RITTER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 N TRAIL SIDE CT
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5207
Mailing Address - Country:US
Mailing Address - Phone:801-358-5308
Mailing Address - Fax:
Practice Address - Street 1:2965 N TRAIL SIDE CT
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5207
Practice Address - Country:US
Practice Address - Phone:801-358-5308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7027144-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist