Provider Demographics
NPI:1669726253
Name:MCCAFFREY, CATHERINE GRACE (MA, CCC-SLP, CLC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:GRACE
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:MA, CCC-SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 VIRGINIA DR STE 140
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3106
Mailing Address - Country:US
Mailing Address - Phone:267-532-8438
Mailing Address - Fax:
Practice Address - Street 1:1035 VIRGINIA DR STE 140
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3106
Practice Address - Country:US
Practice Address - Phone:267-532-8438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0001457235Z00000X
PASL012331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist