Provider Demographics
NPI:1417211863
Name:GORYCKI, CATHARINE M (MSED SPED)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:M
Last Name:GORYCKI
Suffix:
Gender:F
Credentials:MSED SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CAMPWOODS GROUNDS
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3703
Mailing Address - Country:US
Mailing Address - Phone:914-762-7863
Mailing Address - Fax:
Practice Address - Street 1:6 CAMPWOODS GROUNDS
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3703
Practice Address - Country:US
Practice Address - Phone:914-762-7863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-30
Last Update Date:2012-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206796031103K00000X
NY206795031103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst