Provider Demographics
NPI:1487776951
Name:KATHY FOWLER ANS ASSOCIATES
Entity type:Organization
Organization Name:KATHY FOWLER ANS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC
Authorized Official - Phone:415-927-0557
Mailing Address - Street 1:654 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1611
Mailing Address - Country:US
Mailing Address - Phone:415-927-0557
Mailing Address - Fax:
Practice Address - Street 1:654 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1611
Practice Address - Country:US
Practice Address - Phone:415-927-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 42235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty