Provider Demographics
NPI:1467279489
Name:CATSKILL SPEECH AND SWALLOW SERVICES, PLLC
Entity type:Organization
Organization Name:CATSKILL SPEECH AND SWALLOW SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY PARTNER, SLP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:845-798-4132
Mailing Address - Street 1:693 COUNTY ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:GLEN SPEY
Mailing Address - State:NY
Mailing Address - Zip Code:12737-5813
Mailing Address - Country:US
Mailing Address - Phone:845-798-4132
Mailing Address - Fax:
Practice Address - Street 1:693 COUNTY ROUTE 31
Practice Address - Street 2:
Practice Address - City:GLEN SPEY
Practice Address - State:NY
Practice Address - Zip Code:12737-5813
Practice Address - Country:US
Practice Address - Phone:845-798-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty