Individual provider · Type 1 NPI

Kathleen Walter, MSED

Specialist · Port Jefferson Station, NY

NPI number 1043574908 Active

Practice location

253 Sagamore Hills Dr
Port Jefferson Station, NY 11776-3553

Call (631) 828-8602 Map

Fax (631) 473-5688

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X224703 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043574908

Kathleen Walter, MSED's National Provider Identifier is 1043574908, issued on Jun 26, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 26, 2012.