MRS. Kathryn Susan Vansickle, M.S.CCC-SLP

NPI #1730379801 in Mishawaka, Indiana

Provider Information

NPI Number
1730379801
Entity Type
Individual
Name
MRS. Kathryn Susan Vansickle, M.S.CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S.CCC-SLP
Enumeration Date
Jul 25, 2007
Last Updated
Jul 25, 2007

Practice Location

Address
59888 PINE CREST DR
State
Indiana
ZIP Code
46544-9471
Phone
(574) 850-4445

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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