Provider Demographics
NPI:1841709292
Name:D'ANGELO, KATHRYN VICTORIA (AUD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:VICTORIA
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:VICTORIA
Other - Last Name:RAPLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1 BLACKBURN DR
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2292
Mailing Address - Country:US
Mailing Address - Phone:978-283-6888
Mailing Address - Fax:
Practice Address - Street 1:1 BLACKBURN DR
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2292
Practice Address - Country:US
Practice Address - Phone:978-283-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4708231H00000X
RIAUD00240231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist