Individual
MRS. KATHERINE J PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1160 ROCKWELL DR, XENIA, OH 45385-3800
(217) 714-8783
Mailing address
1160 ROCKWELL DR, XENIA, OH 45385-3800
(217) 714-8783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROV ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
03/22/2007
Last updated
12/04/2019
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