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

Katherine Lively, MHS, CCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1417835067

Katherine Lively, MHS, CCC-SLP/L is a Speech-Language Pathologist in Berwyn, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

2822 Home Ave
Berwyn, IL 60402-2950
Phone: (773) 620-4108
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 146011655 (IL)

Record details

NPI number1417835067
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , CCC-SLP/L
Sole proprietorYes
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Other providers in Berwyn