Provider Demographics
NPI:1295003648
Name:MAWER, CATHY (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:
Last Name:MAWER
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 1:41 HEMLOCK LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-3408
Mailing Address - Country:US
Mailing Address - Phone:716-683-4605
Mailing Address - Fax:
Practice Address - Street 1:41 HEMLOCK LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-3408
Practice Address - Country:US
Practice Address - Phone:716-683-4605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005248-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist