Provider Demographics
NPI:1174671226
Name:RANSOM CUSON, KATHLEEN ELIZABETH (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:RANSOM CUSON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 ZOELLER LN
Mailing Address - Street 2:APT F
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-9443
Mailing Address - Country:US
Mailing Address - Phone:219-462-9524
Mailing Address - Fax:
Practice Address - Street 1:962 ZOELLER LN
Practice Address - Street 2:APT F
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-9443
Practice Address - Country:US
Practice Address - Phone:219-462-9524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist