| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATIE HERTLEIN | 1356075063 | 2022-08-07 |
Katie Hertlein is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356075063. Registration indicates Katie Hertlein is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Specialist/Technologist (Specialist/Technologist: Speech-Language Assistant, ) (Specialist/Technologist Speech-Language Assistant, Speech, Language and Hearing Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Katie Hertlein |
| Practice Office Address | 1200 N CENTRAL AVE KISSIMMEE, FL US |
| Practice Office Telephone | 4072017429 |
| Mailing Address | 2504 WOODGATE BLVD APT 205 ORLANDO, FL 328225849 US |
| Business Telephone | 9732716454 |
| Code | Practice | License No State |
|---|---|---|
| 2355S0801X PRIMARY | Speech, Language and Hearing Service Providers Specialist/Technologist Specialist/Technologist: Speech-Language Assistant Specialist/Technologist Speech-Language Assistant Speech, Language and Hearing Service Providers Specialist/Technologist |