Provider Demographics
NPI:1508178542
Name:OLIVER, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E BROADWAY
Mailing Address - Street 2:APT. J1801
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:208 E BROADWAY
Practice Address - Street 2:APT. J1801
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5526
Practice Address - Country:US
Practice Address - Phone:917-620-3996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist