Provider Demographics
NPI:1679892079
Name:FOSTER-GAGNIER, KATE ELIZABETH (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:ELIZABETH
Last Name:FOSTER-GAGNIER
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 BROAD ST
Mailing Address - Street 2:PLATTSBURGH CITY SCHOOL DISTRICT
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-3311
Mailing Address - Country:US
Mailing Address - Phone:518-957-6000
Mailing Address - Fax:518-247-4955
Practice Address - Street 1:49 BROAD ST
Practice Address - Street 2:PLATTSBURGH CITY SCHOOL DISTRICT
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-3311
Practice Address - Country:US
Practice Address - Phone:518-957-6000
Practice Address - Fax:518-247-4955
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist