Provider Demographics
NPI:1386635779
Name:TERRY, CATHERINE H (SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:H
Last Name:TERRY
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 1:80 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2958
Mailing Address - Country:US
Mailing Address - Phone:540-382-1492
Mailing Address - Fax:540-382-1493
Practice Address - Street 1:80 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2958
Practice Address - Country:US
Practice Address - Phone:540-382-1492
Practice Address - Fax:540-382-1493
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist