Provider Demographics
NPI:1699909085
Name:RICHARDSON, KATHERINE HUGHES (MA)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:HUGHES
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4631 FREEDOM DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9156
Mailing Address - Country:US
Mailing Address - Phone:919-606-9846
Mailing Address - Fax:335-744-9457
Practice Address - Street 1:5755 SHATTALON DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-1332
Practice Address - Country:US
Practice Address - Phone:336-744-2779
Practice Address - Fax:336-744-9457
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist