Provider Demographics
NPI:1871214551
Name:KRIELOW, KATHARINE (MA, SLP-CCC)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:KRIELOW
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MILL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE ARTHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70549-3716
Mailing Address - Country:US
Mailing Address - Phone:337-774-3323
Mailing Address - Fax:
Practice Address - Street 1:500 MILL AVE
Practice Address - Street 2:
Practice Address - City:LAKE ARTHUR
Practice Address - State:LA
Practice Address - Zip Code:70549-3716
Practice Address - Country:US
Practice Address - Phone:337-774-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4010235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist