Provider Demographics
NPI:1104173897
Name:NATOLI, KATELYN M
Entity type:Individual
Prefix:MS
First Name:KATELYN
Middle Name:M
Last Name:NATOLI
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 1:171 W ROGUES PATH
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5026
Mailing Address - Country:US
Mailing Address - Phone:718-663-9190
Mailing Address - Fax:
Practice Address - Street 1:9036 150TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-4040
Practice Address - Country:US
Practice Address - Phone:718-291-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist