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NPI Code Detail

MEDICARE: KATHARINE GREGG

MEDICARE:   KATHARINE  GREGG
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 Pathologist2200637AIN

General Provider Information

NPI Number : 1528525490
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE GREGG
Provider Business Mailing Address
First Line : 2006 EDITH AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-2288
Country : US
Telephone Number : 260-609-1976
Fax Number :
Provider Business Practice Location Address
First Line : 2006 EDITH AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-2288
Country : US
Telephone Number : 260-609-1976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 02/26/2019

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Directions to “ KATHARINE GREGG ” 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.