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Individual

KATHERINE LANIER SLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
7145 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-6971
(334) 244-3355
(334) 244-3906
Mailing address
7145 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-6971
(334) 244-3408
(334) 244-3906

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1108A
AL
231H00000X
Audiologist
AUD003801
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1108A
AL AUDIOLOGY LICENSE
AL
01
AUD003801
GA AUDIOLOGY LICENSE
GA
Enumeration date
07/01/2008
Last updated
11/30/2023
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