Katherine Lively, MHS, CCC-SLP/L

NPI #1417835067 in Berwyn, Illinois

Provider Information

NPI Number
1417835067
Entity Type
Individual
Name
Katherine Lively, MHS, CCC-SLP/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MHS, CCC-SLP/L
Enumeration Date
Aug 22, 2025
Last Updated
Aug 22, 2025

Practice Location

Address
2822 HOME AVE
City
Berwyn
ZIP Code
60402-2950
Phone
(773) 620-4108

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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