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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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