Provider Demographics
NPI:1255649679
Name:OFF, CATHERINE ANN (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:OFF
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CAMPUS DR
Mailing Address - Street 2:UM RITECARE SPEECH, LANGUAGE, HEARING CLINIC
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59812-0003
Mailing Address - Country:US
Mailing Address - Phone:406-243-2405
Mailing Address - Fax:406-243-6678
Practice Address - Street 1:32 CAMPUS DR
Practice Address - Street 2:UM RITECARE SPEECH, LANGUAGE, HEARING CLINIC
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0003
Practice Address - Country:US
Practice Address - Phone:406-243-2405
Practice Address - Fax:406-243-6678
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17112235Z00000X
MT1314235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist