Most Relevant Information
Provider Data
| NPI Number: | 1003455734 |
| Provider Name: | RANDLE KATHERINE CECIL CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP.0004335 |
Most Important Dates
| Enumeration Date: | 12/28/2019 |
| Last Updated: | 06/09/2021 |
Provider Practice Location
234 N MAIN ST
GUNNISON
CO
812302438
Practice Location Phone/Fax
| Phone: | 9706412908 |
| Fax: |
Provider Mailing Location
PO BOX 3032
CRESTED BUTTE
CO
812243032
Provider Mailing Phone/Fax
| Phone: | 9035174595 |
| Fax: |