Basic Information
Provider Information
NPI: 1457805517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARNIER
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1220 POST RD APT 215
Address2:  
City: FITCHBURG
State: WI
PostalCode: 537134246
CountryCode: US
TelephoneNumber: 2628258204
FaxNumber:  
Practice Location
Address1: 1051 CLARK ST
Address2:  
City: REEDSBURG
State: WI
PostalCode: 539592321
CountryCode: US
TelephoneNumber: 6085247500
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2016
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X4294 - 154WIY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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