Individual
KATHERINE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPD
Contact information
Practice address
7802 ANILINE TRL, FORT WAYNE, IN 46835-0083
(916) 531-2413
Mailing address
7802 ANILINE TRL, FORT WAYNE, IN 46835-0083
(916) 531-2413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60783472
WA
Other
Enumeration date
03/14/2018
Last updated
07/15/2026
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