Provider Demographics
NPI:1679727960
Name:REALE, MARIA CATERINA (CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CATERINA
Last Name:REALE
Suffix:
Gender:F
Credentials:CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PUMPHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2903
Mailing Address - Country:US
Mailing Address - Phone:845-612-9919
Mailing Address - Fax:
Practice Address - Street 1:6 PUMPHOUSE RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-2903
Practice Address - Country:US
Practice Address - Phone:845-612-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017572-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist