Individual
MRS. KATHERINE MCCULLOUGH MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
915 BENNER PIKE, STATE COLLEGE, PA 16801-7395
(814) 231-0138
(814) 231-1390
Mailing address
28 PEARL ST, HOLLISTON, MA 01746-1617
(774) 233-0415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011300670001
—
PA
Enumeration date
04/16/2007
Last updated
10/21/2010
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