Most Relevant Information
Provider Data
| NPI Number: | 1003462177 |
| Provider Name: | KATHERYN PERSE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | COND.20191122-SP |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/14/2019 |
Provider Practice Location
145 N QUENTIN RD
NEWARK
OH
430554623
Practice Location Phone/Fax
| Phone: | 7403496084 |
| Fax: |
Provider Mailing Location
145 N QUENTIN RD
NEWARK
OH
430554623
Provider Mailing Phone/Fax
| Phone: | 7403496084 |
| Fax: |