Mack, Katelyn
Mack, Katelyn is an individual health care provider with primary practice located at 7610 Pershing Blvd , Kenosha WI 53142-4318. 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. Mack, Katelyn can be contacted via phone (262) 948-3600.Contact Information
Primary practice address
7610 Pershing Blvd
Kenosha WI 53142-4318
Phone: (262) 948-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4014-154 | Wisconsin |
Profile Details
| NPI number | 1417359514 |
|---|---|
| LBN Legal business name | Mack, Katelyn |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Sep 19th, 2014 - about 12 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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