Individual
KATHERINE SHANNON FITHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1R NEWBURY ST STE 104, PEABODY, MA 01960-3816
(978) 535-3355
Mailing address
28 BRAINARD AVE APT 210, MEDFORD, MA 02155-5125
(858) 692-7947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-9418-SL
MA
Other
Enumeration date
11/06/2014
Last updated
04/29/2019
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