Provider Demographics
NPI:1437547049
Name:GARVEY, KATHERINE (EDM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:GARVEY
Suffix:
Gender:F
Credentials:EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 HANNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2807
Mailing Address - Country:US
Mailing Address - Phone:516-673-6449
Mailing Address - Fax:
Practice Address - Street 1:23 WHEATLEY AVE
Practice Address - Street 2:
Practice Address - City:EAST WILLISTON
Practice Address - State:NY
Practice Address - Zip Code:11596-2544
Practice Address - Country:US
Practice Address - Phone:516-746-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1234491235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist