Provider Demographics
NPI:1609394071
Name:MOSKEL, KATHRYN (AUD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MOSKEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 INDUSTRIAL BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1608
Mailing Address - Country:US
Mailing Address - Phone:610-296-5600
Mailing Address - Fax:
Practice Address - Street 1:15 INDUSTRIAL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1608
Practice Address - Country:US
Practice Address - Phone:610-296-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006538231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist