Katherine Cain, M.A.

Individual provider Active NPI Early Intervention Provider Agency · Hanahan, SC

NPI 1508102997 · NPPES record last updated Dec 12, 2012

Key facts

NPI
1508102997
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
5820 Murray Dr Apt H24
Hanahan, SC 29410-2833
Phone
(704) 737-6165
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

5820 Murray Dr Apt H24
Hanahan, SC 29410-2833

Mailing address

5820 Murray Dr Apt H24
Hanahan, SC 29410-2833
Phone (704) 737-6165

Other providers in Hanahan, SC

All providers in Hanahan, SC · Early Intervention Provider Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.