Provider Demographics
NPI:1972156339
Name:KATTERHEINRICH, JUSTINA (AUD)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:
Last Name:KATTERHEINRICH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7326
Mailing Address - Country:US
Mailing Address - Phone:301-729-1635
Mailing Address - Fax:301-729-1697
Practice Address - Street 1:938 NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-7326
Practice Address - Country:US
Practice Address - Phone:301-729-1635
Practice Address - Fax:301-729-1697
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA02201231H00000X
MD01489231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist