Provider Demographics
NPI:1306063664
Name:CHOJNOWSKI, CATHERINE AIMEE (CCC-SLP, CERT AVT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:AIMEE
Last Name:CHOJNOWSKI
Suffix:
Gender:F
Credentials:CCC-SLP, CERT AVT
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:AIMEE
Other - Last Name:OUELLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP, CERT AVT
Mailing Address - Street 1:20 PHEASANT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4356
Mailing Address - Country:US
Mailing Address - Phone:207-807-2824
Mailing Address - Fax:
Practice Address - Street 1:4 FUNDY RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1777
Practice Address - Country:US
Practice Address - Phone:207-781-7199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP1326235Z00000X
MA5744235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME11317110OtherCAQH CREDENTIALED PROVIDE
ME099013OtherANTHEM PROVIDER NUMBER