Provider Demographics
NPI:1295151926
Name:MCKINSTER, KATHERINE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCKINSTER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MARILYN DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-3024
Mailing Address - Country:US
Mailing Address - Phone:603-387-0917
Mailing Address - Fax:
Practice Address - Street 1:5 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03276-1506
Practice Address - Country:US
Practice Address - Phone:603-286-4332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0492235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist