MEDICARE: KATHERINE O'CONNOR

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
1	235Z00000X	Speech-Language Pathologist	SL013147	PA

General Provider Information

NPI Number	:	1790234847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE O'CONNOR

Provider Business Mailing Address
First Line	:	4840 PINE ST
Second Line	:	APT C307
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-1722
Country	:	US
Telephone Number	:	240-423-8678
Fax Number	:

Provider Business Practice Location Address
First Line	:	4840 PINE ST
Second Line	:	APT C307
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-1722
Country	:	US
Telephone Number	:	240-423-8678
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	09/30/2016

Similar Medicare Providers

1477768737 — ELLEN D. STODDARD PH.D.
Practice Location Address:

1722 PINE ST , 1ST FLOOR
PHILADELPHIA, PA
19103-6764

Practice Phone: 215-545-2655
Practice Fax:

1467613885 — SAFE MEADOW MEDICAL CENTER
Practice Location Address:

7042 ELMWOOD AVE
PHILADELPHIA, PA
19142-1722

Practice Phone: 215-937-0700
Practice Fax: 512-937-0164

1073757779 — WOMEN'S CHRISTIAN ALLIANCE
Practice Location Address:

1722-42 CECIL B. MOORE AVENUE
PHILADELPHIA, PA
19121-3405

Practice Phone: 215-236-9911
Practice Fax: 215-236-9808

1255566402 — SAFE MEADOW HEALTH CENTER
Practice Location Address:

7042 ELMWOOD AVE
PHILADELPHIA, PA
19142-1722

Practice Phone: 215-937-0700
Practice Fax:

1700186004 — FOUR STAR PHARMACY
Practice Location Address:

7028 ELMWOOD AVE
PHILADELPHIA, PA
19142-1722

Practice Phone: 215-365-1088
Practice Fax: 215-365-1699

1982957023 — WANDA LONEY
Practice Location Address:

1722 CECIL B MOORE AVE
PHILADELPHIA, PA
19121-3231

Practice Phone: 215-236-9911
Practice Fax:

Directions to “ KATHERINE O'CONNOR ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.