Provider Demographics
NPI:1215221700
Name:GENAUX, CATHERINE E (SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:GENAUX
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DANFORTH CT
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1193
Mailing Address - Country:US
Mailing Address - Phone:907-388-9135
Mailing Address - Fax:
Practice Address - Street 1:20 DANFORTH CT
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1193
Practice Address - Country:US
Practice Address - Phone:907-388-9135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH235Z00000X
FL235Z00000X
AK235Z00000X
MA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist