Provider Demographics
NPI:1699590802
Name:LEVESQUE, KATHERINE (CDP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LEVESQUE
Suffix:
Gender:F
Credentials:CDP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:LEVESQUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4375 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1963
Mailing Address - Country:US
Mailing Address - Phone:352-688-1195
Mailing Address - Fax:
Practice Address - Street 1:4375 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1963
Practice Address - Country:US
Practice Address - Phone:352-688-1195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist