Provider Demographics
NPI:1083731541
Name:BOXLEITER, CATHERINE ANN (MA CC SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:BOXLEITER
Suffix:
Gender:F
Credentials:MA CC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 KIRKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-4205
Mailing Address - Country:US
Mailing Address - Phone:563-588-3438
Mailing Address - Fax:
Practice Address - Street 1:301 NE TRILEIN DR
Practice Address - Street 2:SUITE 4
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2170
Practice Address - Country:US
Practice Address - Phone:866-965-7682
Practice Address - Fax:515-963-9125
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist