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Contact Information

KATHRYN J ALTENBACH
13453 N MAIN ST STE 401
JACKSONVILLE, FL32218-2774
 Phone: 904-249-8893
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KATHRYN J ALTENBACH · (Female)

NPI Number 1366942500
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2018
Last updated 07/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 747501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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