Provider Demographics
NPI:1013153881
Name:CATT, ELLEN C (MS,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:C
Last Name:CATT
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 1:4518 S FRISCO TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-1152
Mailing Address - Country:US
Mailing Address - Phone:417-459-3717
Mailing Address - Fax:
Practice Address - Street 1:4518 S FRISCO TRAIL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810-1152
Practice Address - Country:US
Practice Address - Phone:417-459-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO113472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist