Provider Demographics
NPI:1366993487
Name:MARKS HARTIGAN, KATHERINE LINDSEY (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LINDSEY
Last Name:MARKS HARTIGAN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:LINDSEY
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, CCC-SLP
Mailing Address - Street 1:550 PEACHTREE ST NE FL 9
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2212
Mailing Address - Country:US
Mailing Address - Phone:404-778-3381
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE FL 9
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2212
Practice Address - Country:US
Practice Address - Phone:404-778-3381
Practice Address - Fax:586-779-0031
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76553235Z00000X
MI7101004948235Z00000X
GASLP013167235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist