Provider Demographics
NPI:1235431149
Name:GESCHKE, KATHY PEDRETTI (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:PEDRETTI
Last Name:GESCHKE
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1643
Mailing Address - Country:US
Mailing Address - Phone:610-667-2939
Mailing Address - Fax:
Practice Address - Street 1:1060 FIRST AVE STE 430
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1336
Practice Address - Country:US
Practice Address - Phone:610-992-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL001906L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist