Provider Demographics
NPI:1053337048
Name:WESTERN CAROLINA UNIVERSITY CONTROLLERS OFFICE
Entity type:Organization
Organization Name:WESTERN CAROLINA UNIVERSITY CONTROLLERS OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-776-4106
Mailing Address - Street 1:WESTERN CAROLINA UNIVERSITY SPEECH AND HEARING CLINIC
Mailing Address - Street 2:3971 LITTLE SAVANNAH RD. RM 132
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:828-227-7251
Mailing Address - Fax:828-227-7456
Practice Address - Street 1:WESTERN CAROLINA UNIVERSITY SPEECH AND HEARING CLINIC
Practice Address - Street 2:3971 LITTLE SAVANNAH RD. RM 132
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-227-7251
Practice Address - Fax:828-227-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5214231H00000X
NC1429235Z00000X
NC2693235Z00000X
NC721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7001515Medicaid
NC7210209Medicaid