Provider Demographics
NPI:1225897895
Name:FRONTZ, KATELYN MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:MARIE
Last Name:FRONTZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PINE MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MC ALISTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17049-8217
Mailing Address - Country:US
Mailing Address - Phone:717-275-4640
Mailing Address - Fax:
Practice Address - Street 1:155 PINE MAPLE ST
Practice Address - Street 2:
Practice Address - City:MC ALISTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17049-8217
Practice Address - Country:US
Practice Address - Phone:717-275-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist