MEDICARE: KATHERINE DONDERO MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1801685300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE DONDERO MS

Provider Business Mailing Address
First Line	:	182 COWBELL RD
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1504
Country	:	US
Telephone Number	:	267-994-0141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 VIRGINIA DR STE 120
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-3103
Country	:	US
Telephone Number	:	215-718-2102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	05/02/2025

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Directions to “ KATHERINE DONDERO MS” Practice Location

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