Basic Information
Provider Information
NPI: 1114146719
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: KATE
MiddleName:  
NamePrefix: PROF.
NameSuffix:  
Credential: PH.D., CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22 SAW MILL RIVER RD 2ND FLOOR
Address2:  
City: HAWTHORNE
State: NY
PostalCode: 105321532
CountryCode: US
TelephoneNumber: 9145944852
FaxNumber: 9145944853
Practice Location
Address1: 30 PLAZA W
Address2: VOSBURGH PAVILION
City: VALHALLA
State: NY
PostalCode: 105951572
CountryCode: US
TelephoneNumber: 9145944912
FaxNumber: 9145944853
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 05/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X009527-1NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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