Provider Demographics
NPI:1538870803
Name:GARDEN, KATHERINE JEANETTE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JEANETTE
Last Name:GARDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FIRST ST UNIT 8066
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-7505
Mailing Address - Country:US
Mailing Address - Phone:718-674-5269
Mailing Address - Fax:
Practice Address - Street 1:1032 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524
Practice Address - Country:US
Practice Address - Phone:718-674-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist