Provider Demographics
NPI:1710129606
Name:HADED, KATHERINE R (MHS)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:R
Last Name:HADED
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 SHERWOOD LAKE DR
Mailing Address - Street 2:APARTMENT 413
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1665
Mailing Address - Country:US
Mailing Address - Phone:708-825-3176
Mailing Address - Fax:219-374-5624
Practice Address - Street 1:12845 PARRISH AVE
Practice Address - Street 2:
Practice Address - City:CEDAR LAKE
Practice Address - State:IN
Practice Address - Zip Code:46303-9298
Practice Address - Country:US
Practice Address - Phone:219-374-5624
Practice Address - Fax:219-374-5624
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46001927A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist