National Provider Identifier
Katherine M Deragon, M.S.CCC-SLP
Katherine M Deragon, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Painted Post, NY and a listed phone number of (607) 377-6425.
Profile Overview
- NPI
- 1548842958
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 25, 2021
- Last Updated
- April 28, 2021
Practice Location
- 6 Fieldview Dr
- Painted Post, NY 14870-9222
Phone: (607) 377-6425
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1548842958
- Entity Type
- Individual
- Last Name
- Deragon
- First Name
- Katherine
- Middle Name
- M
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 6 Fieldview Dr
- Mailing City
- Painted Post
- Mailing State
- NY
- Mailing ZIP Code
- 14870-9222
- Mailing Country
- US
- Practice Street Address
- 6 Fieldview Dr
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-9222
- Practice Country
- US
- Practice Phone
- (607) 377-6425
- Enumeration Date
- April 25, 2021
- Last Updated
- April 28, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)