Provider Demographics
NPI:1114233624
Name:CALIFANO, CATHERINE (CCC-SLP, TSHH)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CALIFANO
Suffix:
Gender:F
Credentials:CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 LEN DR
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5202
Mailing Address - Country:US
Mailing Address - Phone:516-785-4739
Mailing Address - Fax:
Practice Address - Street 1:2746 LEN DR
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5202
Practice Address - Country:US
Practice Address - Phone:516-785-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014208-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist