Individual
KATHRYN GARLAND FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8 MERRILL ST, DANVERS, MA 01923-3117
(781) 956-2540
Mailing address
8 MERRILL ST, DANVERS, MA 01923-3117
(781) 956-2540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77316-SP-SL
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77316-SP-SL
SPEECH LANGUAGE PATHOLOGY LICENSE
MA
Enumeration date
06/26/2019
Last updated
07/30/2024
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