Provider Demographics
NPI:1457879447
Name:FORD, KATHERINE ANNE (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANNE
Last Name:FORD
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8801 NESSLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3155
Mailing Address - Country:US
Mailing Address - Phone:804-527-4624
Mailing Address - Fax:804-527-4658
Practice Address - Street 1:8801 NESSLEWOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3155
Practice Address - Country:US
Practice Address - Phone:804-527-4624
Practice Address - Fax:804-527-4658
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist