Provider Demographics
NPI:1801638697
Name:CATALINO, KATHRYN R (SLP-CCC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:R
Last Name:CATALINO
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:CATALINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:2107 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6068
Mailing Address - Country:US
Mailing Address - Phone:484-560-6867
Mailing Address - Fax:
Practice Address - Street 1:822 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1937
Practice Address - Country:US
Practice Address - Phone:215-220-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL017750235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist