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Individual

MRS. KATHY L VANDERGRIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3770
(812) 842-3771
Mailing address
1808 SHERMAN DRIVE, PRINCETON, IN 47670-1043
(812) 385-9201
(812) 385-9307

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002434A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22002434A
LICENSE NUMBER
IN
Enumeration date
10/26/2006
Last updated
07/17/2025
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