Provider Demographics
NPI:1073764411
Name:DIGIOVANNI, KATHLEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:DIGIOVANNI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 BIRDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-7605
Mailing Address - Country:US
Mailing Address - Phone:281-428-3034
Mailing Address - Fax:
Practice Address - Street 1:1700 JAMES BOWIE DR
Practice Address - Street 2:AUDIOLOGY DEPARTMENT
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3302
Practice Address - Country:US
Practice Address - Phone:281-428-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50821237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter