Individual
MRS. KATHRYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA -CCC-SLP
Contact information
Practice address
3538 BRISTERS SPRING RUN, FORT WAYNE, IN 46815-6285
(260) 615-0783
Mailing address
3538 BRISTERS SPRING RUN, FORT WAYNE, IN 46815-6285
(260) 615-0783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004662A
IN
Other
Enumeration date
10/30/2014
Last updated
08/04/2023
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