Provider Demographics
NPI:1659731578
Name:FARNSWORTH, KATHERINE JOAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JOAN
Last Name:FARNSWORTH
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 1:120 HUDSON CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6346
Mailing Address - Country:US
Mailing Address - Phone:630-292-8262
Mailing Address - Fax:
Practice Address - Street 1:120 HUDSON CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-6346
Practice Address - Country:US
Practice Address - Phone:630-292-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001563231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist