Healthcare Provider Details

I. General information

NPI: 1497362776
Provider Name (Legal Business Name): KATHRYN ANNE SENSENIG MS-CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 FURNACE HILLS PIKE
LITITZ PA
17543-7954
US

IV. Provider business mailing address

660 BARR BLVD
LANCASTER PA
17603-2343
US

V. Phone/Fax

Practice location:
  • Phone: 717-626-2071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: