Individual
KATHRYN BARISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6838
(804) 601-6010
(804) 601-4774
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000247
VA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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