Provider Demographics
NPI:1295096899
Name:RATHE, KRISTIN MARIE (AUD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MARIE
Last Name:RATHE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:SHEARER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6041 WALLACE ROAD EXT STE 110
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7471
Mailing Address - Country:US
Mailing Address - Phone:412-321-2480
Mailing Address - Fax:412-321-3229
Practice Address - Street 1:6041 WALLACE ROAD EXT STE 110
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7471
Practice Address - Country:US
Practice Address - Phone:412-321-2480
Practice Address - Fax:412-321-3229
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006257231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist