Provider Demographics
NPI:1316161524
Name:TROFIBIO, KATHERINE ANN (MA,CCC - SLP)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:ANN
Last Name:TROFIBIO
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Gender:F
Credentials:MA,CCC - SLP
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Mailing Address - Street 1:16518 NE 26TH AVE
Mailing Address - Street 2:APT # 403
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4021
Mailing Address - Country:US
Mailing Address - Phone:786-942-2877
Mailing Address - Fax:305-945-5764
Practice Address - Street 1:6595 NW 36 ST
Practice Address - Street 2:SUITE 305-2
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6967
Practice Address - Country:US
Practice Address - Phone:305-874-1300
Practice Address - Fax:877-442-7773
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLSA5040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist