Individual
KATELYN RENEE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 STADIUM DR STE 2, KALAMAZOO, MI 49009-1932
(269) 372-0436
Mailing address
5659 STADIUM DR STE 2, KALAMAZOO, MI 49009-1932
(269) 372-0436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000078
MI
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
06/23/2021
Last updated
08/13/2021
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