Provider Demographics
NPI:1639503741
Name:BLESSING, KATHERINE ANN
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:BLESSING
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 1:2101 LAKEVIEW RD
Mailing Address - Street 2:SPECIAL SERVICES
Mailing Address - City:MEXICO
Mailing Address - State:MO
Mailing Address - Zip Code:65265-1358
Mailing Address - Country:US
Mailing Address - Phone:573-581-3773
Mailing Address - Fax:573-581-1794
Practice Address - Street 1:2101 LAKEVIEW RD
Practice Address - Street 2:SPECIAL SERVICES
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-1358
Practice Address - Country:US
Practice Address - Phone:573-581-3773
Practice Address - Fax:573-581-1794
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist