Provider Demographics
NPI:1730313248
Name:WALKER, CATHERINE E (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 UNDERHILL ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3414
Mailing Address - Country:US
Mailing Address - Phone:516-776-0214
Mailing Address - Fax:
Practice Address - Street 1:22 UNDERHILL ST
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3414
Practice Address - Country:US
Practice Address - Phone:516-776-0214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018554235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist