Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Katherine Suzanne Vanenkevort, SLPD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205124443

Dr. Katherine Suzanne Vanenkevort, SLPD, CCC-SLP is a Qualified Speech Language Pathologist in Escanaba, Michigan. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

218 S 10th St
Escanaba, MI 49829-3405
Phone: (069) 553-7574
Fax: (906) 428-8843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101002388 (MI)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1205124443
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLPD , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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