Provider Demographics
NPI:1578834842
Name:VONKNORRING, KATHARINA E (MA-CCC, SLP)
Entity Type:Individual
Prefix:
First Name:KATHARINA
Middle Name:E
Last Name:VONKNORRING
Suffix:
Gender:F
Credentials:MA-CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-2105
Mailing Address - Country:US
Mailing Address - Phone:203-637-0354
Mailing Address - Fax:203-637-0354
Practice Address - Street 1:50 UNION AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-2008
Practice Address - Country:US
Practice Address - Phone:914-630-3021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009219-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)