Individual
KATHERINE WALENCIAK ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6019 PEBBLE CREEK DR, FAIRVIEW, PA 16415
(240) 620-1018
Mailing address
6019 PEBBLE CREEK DR, FAIRVIEW, PA 16415-3265
(240) 620-1018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006029
VA
235Z00000X
Speech-Language Pathologist
SL014284
PA
Other
Enumeration date
06/09/2010
Last updated
10/30/2018
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