Individual
KATELYN WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5639 W GENESEE ST, CAMILLUS, NY 13031-1250
(315) 468-2985
Mailing address
5639 W GENESEE ST, CAMILLUS, NY 13031-1250
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
336104
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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