Provider Demographics
NPI:1558669333
Name:CATANESE, MEGAN FITZPATRICK (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:FITZPATRICK
Last Name:CATANESE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:6307 PENUCHE WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-3356
Mailing Address - Country:US
Mailing Address - Phone:614-202-0075
Mailing Address - Fax:
Practice Address - Street 1:500 HOLLY SPRINGS RD STE 103
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6204
Practice Address - Country:US
Practice Address - Phone:919-297-2997
Practice Address - Fax:919-297-2993
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15056235Z00000X
OH8841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist