Provider Demographics
NPI:1689829533
Name:LUBLIN, KATRINA GRABOWSKI (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:GRABOWSKI
Last Name:LUBLIN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 O'CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPOINT
Mailing Address - State:NY
Mailing Address - Zip Code:14450
Mailing Address - Country:US
Mailing Address - Phone:585-377-4660
Mailing Address - Fax:585-377-6605
Practice Address - Street 1:41 O'CONNOR RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450
Practice Address - Country:US
Practice Address - Phone:585-377-4660
Practice Address - Fax:585-377-6605
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012981-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist