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NPI Code Detail

MEDICARE: MOLLY L. KATONA LLC

MEDICARE: MOLLY L. KATONA LLC
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
1261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1831975242
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOLLY L. KATONA LLC
Provider Business Mailing Address
First Line : 8005 LA CAVERNA AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-1367
Country : US
Telephone Number : 215-313-1541
Fax Number :
Provider Business Practice Location Address
First Line : 8005 LA CAVERNA AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-1367
Country : US
Telephone Number : 215-313-1541
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : MOLLY LYNN KATONA
Credential : M.S., CCC-SLP
Telephone Number : 215-313-1541
Provider Enumeration Date : 09/01/2023
Last Update Date : 09/05/2023

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Directions to “MOLLY L. KATONA LLC ” Practice Location

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