Provider Demographics
NPI:1770713166
Name:DEEHAN, CATHERINE GRACE (MA SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GRACE
Last Name:DEEHAN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:GRACE
Other - Last Name:LOMONACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA SLP
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:1 BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-3215
Practice Address - Country:US
Practice Address - Phone:908-475-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00246200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist