Fauerbach, Kaitlin Ann

Fauerbach, Kaitlin Ann is an sole proprietor health care provider with primary practice located at 134 West Point Ave , Harveys Lake PA 18618-1861. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fauerbach, Kaitlin Ann can be contacted via phone (570) 855-5303.

Contact Information

Primary practice address
134 West Point Ave Harveys Lake PA 18618-1861
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL008665 Pennsylvania

Profile Details

NPI number 1821211202
LBN Legal business name Fauerbach, Kaitlin Ann
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Feb 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821211202 NPPES
Pennsylvania MEDICAID 1017779320001

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