Provider Demographics
NPI:1750591582
Name:PAULY, CATHIE A (MS, CCC-SP)
Entity type:Individual
Prefix:MS
First Name:CATHIE
Middle Name:A
Last Name:PAULY
Suffix:
Gender:F
Credentials:MS, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 PARMENTER ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3185
Mailing Address - Country:US
Mailing Address - Phone:608-836-6855
Mailing Address - Fax:608-836-0275
Practice Address - Street 1:1800 PARMENTER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3185
Practice Address - Country:US
Practice Address - Phone:608-836-6855
Practice Address - Fax:608-836-0275
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI003235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist