Provider Demographics
NPI:1487824611
Name:REICH, KATHERINE (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:REICH
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:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:CHICHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:12416-0133
Mailing Address - Country:US
Mailing Address - Phone:845-688-7442
Mailing Address - Fax:
Practice Address - Street 1:86 WILLA LA.
Practice Address - Street 2:
Practice Address - City:CHICHESTER
Practice Address - State:NY
Practice Address - Zip Code:12416-0133
Practice Address - Country:US
Practice Address - Phone:845-688-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010402-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist