Individual
KATHERINE AMANDA DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 KING RD, TOLEDO, OH 43617-2099
(419) 867-5666
Mailing address
6900 HALL ST, HOLLAND, OH 43528-9485
(419) 867-5666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP.12104
SLP
OH
Enumeration date
02/24/2016
Last updated
09/09/2021
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