Provider Demographics
NPI:1073841755
Name:CATHERINE PAPOUTSAKIS PC
Entity Type:Organization
Organization Name:CATHERINE PAPOUTSAKIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPOUTSAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC, EDD
Authorized Official - Phone:718-377-6754
Mailing Address - Street 1:878 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2918
Mailing Address - Country:US
Mailing Address - Phone:718-377-6754
Mailing Address - Fax:
Practice Address - Street 1:878 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2918
Practice Address - Country:US
Practice Address - Phone:718-377-6754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2010-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2925235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty