Provider Demographics
NPI:1881835114
Name:FLYNN VULLO, CATHERINE ANNE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANNE
Last Name:FLYNN VULLO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:ANNE
Other - Last Name:FLYNN VULLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:8 MARTLING AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-3119
Mailing Address - Country:US
Mailing Address - Phone:914-329-2595
Mailing Address - Fax:914-747-4691
Practice Address - Street 1:8 MARTLING AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3119
Practice Address - Country:US
Practice Address - Phone:914-329-2595
Practice Address - Fax:914-747-4691
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017256235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist