Provider Demographics
NPI:1780764878
Name:CALL-MORIN, KATHERINE MICHELLE (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MICHELLE
Last Name:CALL-MORIN
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:MICHELLE
Other - Last Name:GONYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD, CCC-SLP
Mailing Address - Street 1:74 CALKINS RD
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-5300
Mailing Address - Country:US
Mailing Address - Phone:518-726-6060
Mailing Address - Fax:518-310-0038
Practice Address - Street 1:74 CALKINS RD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-5300
Practice Address - Country:US
Practice Address - Phone:518-726-6060
Practice Address - Fax:518-310-0038
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004840-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist