Individual
DR. KATIE BERTHEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
(509) 248-9012
Mailing address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
(509) 248-9012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60502225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD60502225
STATE LICENSE
WA
Enumeration date
10/06/2014
Last updated
06/28/2016
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