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NPI 1689041444

NPI 1689041444 : KATHERINE LEIGH HEWITT MS, CCC/SLP : BETHEL PARK, PA

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General NPI Number Information
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    NPI Number           |    1689041444
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE LEIGH HEWITT MS, CCC/SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2015
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    Last Update Date     |    08/27/2015
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Provider Practice Location Address
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    Address Line         |    5751 PEBBLE CREEK CT APT. 5301
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    City                 |    BETHEL PARK
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    State                |    PA
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    Zip                  |    15102-3582
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    Country              |    US
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    Telephone            |    724-554-3722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5751 PEBBLE CREEK CT APT. 5301
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    City                 |    BETHEL PARK
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    State                |    PA
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    Zip                  |    15102-3582
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    Country              |    US
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    Telephone            |    724-554-3722
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SL009723
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    License Number State |    PA
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