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NPI Code Detail

MEDICARE: KATHERINE VAN OEVEREN

MEDICARE:   KATHERINE  VAN OEVEREN
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 Pathologist

General Provider Information

NPI Number : 1235767658
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE VAN OEVEREN
Provider Business Mailing Address
First Line : 600 3 MILE RD NW STE 102
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49544-1685
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 3 MILE RD NW STE 102
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49544-1685
Country : US
Telephone Number : 616-666-6396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 06/03/2020

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Directions to “ KATHERINE VAN OEVEREN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.