Provider Demographics
NPI:1487184107
Name:SCARLETT, KATHERINE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SCARLETT
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 1:1211 HOLBROOK TER NE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2733
Mailing Address - Country:US
Mailing Address - Phone:954-439-8276
Mailing Address - Fax:202-466-0983
Practice Address - Street 1:1211 HOLBROOK TER NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2733
Practice Address - Country:US
Practice Address - Phone:954-439-8276
Practice Address - Fax:202-466-0983
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202009755235Z00000X
MD09664235Z00000X
FL235Z00000X
DCSLP001338235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist