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Contact Information

KATHRYN J KETCHUM
180 GRAND AVE
STE 300
OAKLAND, CA94612
 Phone: 650-339-9951
 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 KETCHUM · (Female)

NPI # 1740518125
Status Active
Credentials
Entity Individual
Enumeration date 11/24/2009
Last updated 08/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 16984
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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