Provider Demographics
NPI:1679846042
Name:THAYER, CATHERINE REITZ (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:REITZ
Last Name:THAYER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ALMA
Other - Last Name:REITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:136 NORTH MAIN STREET
Mailing Address - Street 2:NAPLES CENTRAL SCHOOL DISTRICT
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512
Mailing Address - Country:US
Mailing Address - Phone:585-374-7900
Mailing Address - Fax:585-374-5859
Practice Address - Street 1:136 NORTH MAIN STREET
Practice Address - Street 2:NAPLES CENTRAL SCHOOL DISTRICT
Practice Address - City:NAPLES
Practice Address - State:NY
Practice Address - Zip Code:14512
Practice Address - Country:US
Practice Address - Phone:585-374-7900
Practice Address - Fax:585-374-5859
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015777-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist