Provider Demographics
NPI:1740566561
Name:SAPP, KATHERINE L (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:SAPP
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 UNIVERSITY BLVD # 5001
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5149
Mailing Address - Country:US
Mailing Address - Phone:317-944-4073
Mailing Address - Fax:317-274-5701
Practice Address - Street 1:975 W WALNUT ST
Practice Address - Street 2:IB-130
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5181
Practice Address - Country:US
Practice Address - Phone:317-274-4073
Practice Address - Fax:317-278-0936
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN74000037A170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS