Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathryn Susan Vansickle, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730379801

Mrs. Kathryn Susan Vansickle, MSCCC-SLP is a Speech-Language Pathologist in Mishawaka, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007

Practice location Address checks out

59888 Pine Crest Dr
Mishawaka, IN 46544-9471
Phone: (574) 850-4445
Fax: (574) 633-4738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22002407A (IN)

Record details

NPI number1730379801
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJuly 25, 2007
Last updated in NPPESJuly 25, 2007

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