| Doctor Name: | KATIE WILLARD |
| NPI Number: | 1235435447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 8006277 |
| Business Practice Address: | 1011 N Main St White River Junction, VT - 050016200 |
| Business Phone Number: | 8022958773 |
| Business Fax Number: | 8022958926 |
| Mailing Address: | 135 Allen Brook Ln, Stern Center For Language And Learn WILLISTON |
| State: | VT |
| Postal Code: | 054959209 |
| Phone Number: | 8028782332 |
| Fax Number: | 8028780230 |
| NPI Enumeration Date: | 02/04/2011 |
| NPI Last Update Date: | 02/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8006277 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |