Provider Demographics
NPI:1295981637
Name:LAVIGNE, CATHERINE K (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:K
Last Name:LAVIGNE
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 1:53 FOX HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-2400
Mailing Address - Country:US
Mailing Address - Phone:802-524-7331
Mailing Address - Fax:
Practice Address - Street 1:53 FOX HAVEN LN
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-2400
Practice Address - Country:US
Practice Address - Phone:802-524-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTPROF. EDUCATOR NO #235Z00000X
VT12055168 - ASHA CERT235Z00000X
VT144.0117563235Z00000X
VT015.0000817124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist