Provider Demographics
NPI:1548412323
Name:GASPARD, KATHARINE GRACE (MS)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:GRACE
Last Name:GASPARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:COMMUNICATIVE SCIENCES N-138
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-2938
Mailing Address - Fax:601-815-9774
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:COMMUNICATIVE SCIENCES N-138
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-2938
Practice Address - Fax:601-815-9774
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2915235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist