Provider Demographics
NPI:1043637606
Name:WOLFER, KATHERINE FRANCES (MS)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:FRANCES
Last Name:WOLFER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9770 GRANT PL
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-2324
Mailing Address - Country:US
Mailing Address - Phone:219-314-9137
Mailing Address - Fax:
Practice Address - Street 1:9770 GRANT PL
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-2324
Practice Address - Country:US
Practice Address - Phone:219-662-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46002548A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist