Provider Demographics
NPI:1235864661
Name:ARSENAULT, KATHERINE DOROTHY (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DOROTHY
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:KATHETINE
Other - Middle Name:
Other - Last Name:SNOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6438
Mailing Address - Country:US
Mailing Address - Phone:740-412-3943
Mailing Address - Fax:
Practice Address - Street 1:596 SHELDON RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-8011
Practice Address - Country:US
Practice Address - Phone:740-412-3943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0134475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist