1497848972 NPI number — MRS. KATHRYN S. MARFLAK

Table of content: MRS. KATHRYN S. MARFLAK (NPI 1497848972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497848972 NPI number — MRS. KATHRYN S. MARFLAK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARFLAK
Provider First Name:
KATHRYN
Provider Middle Name:
S.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARFLAK
Provider Other First Name:
KATHRYN
Provider Other Middle Name:
S.
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.P. CCC/ SLP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1497848972
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2160 WINDGAP DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HUNTINGDON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-515-4702
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NEW STEPS REHAB
Provider Second Line Business Practice Location Address:
13898 ROUTE 30
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-861-6001
Provider Business Practice Location Address Fax Number:
724-861-9155
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SL003876L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)