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MRS. KATHLEEN R. WOLLAM M.A., SLP
NPI 1457588691
Speech-Language Pathologist in Crescent City, CA

Active since June 15, 2009Accepts Medicare Assignment
1080 MASON MALL STE 6B, CRESCENT CITY, CA 95531(707) 954-8631 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen R. Wollam M.a., Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN R. WOLLAM M.A., SLP (NPI 1457588691) is an individual speech-language pathologist provider in Crescent City, California, licensed in California (11534) and active in the NPI registry since June 2009. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1457588691
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KATHLEEN R. WOLLAMCredential: M.A., SLP
Location Address1080 MASON MALL STE 6BCrescent City, CA 95531-4335
Mailing AddressPo Box 292Fort Dick, CA 95538-0292 · (707) 954-8631
Phone(707) 954-8631
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 15, 2009
Last NPPES UpdateOctober 21, 2019
✔ NPI 1457588691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 11534
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1080 MASON MALL STE 6B, Crescent City, CA 95531
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathleen R. Wollam M.a., Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476606484
PECOS Enrollment IDI20090807000448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wollam's NPI number?

The NPI number for Kathleen Wollam is 1457588691. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Kathleen Wollam located?

Kathleen Wollam practices at 1080 Mason Mall Ste 6B, Crescent City, CA 95531. The listed phone number is (707) 954-8631.

What is Kathleen Wollam's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kathleen Wollam enrolled in Medicare?

Yes. Kathleen Wollam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Wollam was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.