Provider Demographics
NPI:1750638581
Name:SASSER, KATHERINE Y (BS, BA, IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:Y
Last Name:SASSER
Suffix:
Gender:F
Credentials:BS, BA, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 SKYLAND TRL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3737
Mailing Address - Country:US
Mailing Address - Phone:404-247-6874
Mailing Address - Fax:
Practice Address - Street 1:2538 SKYLAND TRL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-3737
Practice Address - Country:US
Practice Address - Phone:404-247-6874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN