Provider Demographics
NPI:1003544594
Name:ZAHORA, CATHERINE LORRAINE (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LORRAINE
Last Name:ZAHORA
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S KEOWEE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-2242
Mailing Address - Country:US
Mailing Address - Phone:859-473-3026
Mailing Address - Fax:
Practice Address - Street 1:200 S KEOWEE ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2242
Practice Address - Country:US
Practice Address - Phone:859-473-3026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21741062235Z00000X
OHSP.14137235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist