Provider Demographics
NPI:1891822342
Name:ROSARIO, KATHRYN JANE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JANE
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:3615 HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-8195
Mailing Address - Country:US
Mailing Address - Phone:317-319-8181
Mailing Address - Fax:317-884-1390
Practice Address - Street 1:1176 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131
Practice Address - Country:US
Practice Address - Phone:812-343-2797
Practice Address - Fax:317-138-9490
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN22003637A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist