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NPI Code Detail

MEDICARE: KATHERINE AGNES LIN

MEDICARE: KATHERINE AGNES LIN
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
1235Z00000XSpeech-Language Pathologist9859CA
2235Z00000XSpeech-Language Pathologist24157CA

General Provider Information

NPI Number : 1912383878
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE AGNES LIN
Provider Business Mailing Address
First Line : 8303 VILLAGE LN
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-4357
Country : US
Telephone Number : 626-512-3123
Fax Number :
Provider Business Practice Location Address
First Line : 301 E FOOTHILL BLVD STE 100
Second Line :
City : ARCADIA
State : CA
Zip : 91006-2551
Country : US
Telephone Number : 833-319-3969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 05/15/2024

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Directions to “ KATHERINE AGNES LIN ” Practice Location

Language Start Address Practice Location
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