Basic Information
Provider Information
NPI: 1083840599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERRIER
FirstName: KATHERINE
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.A., ATR-BC, LCAT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 151 KNOLLCROFT RD
Address2:  
City: LYONS
State: NJ
PostalCode: 079395001
CountryCode: US
TelephoneNumber: 9086470180
FaxNumber:  
Practice Location
Address1: 151 KNOLLCROFT RD
Address2:  
City: LYONS
State: NJ
PostalCode: 079395001
CountryCode: US
TelephoneNumber: 9086470180
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2009
LastUpdateDate: 10/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
221700000X001256NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist 

No ID Information.


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