Provider Demographics
NPI:1811286735
Name:LASZLO, CATHERIN MARIE (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:CATHERIN
Middle Name:MARIE
Last Name:LASZLO
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 NE RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-8348
Mailing Address - Country:US
Mailing Address - Phone:541-410-9901
Mailing Address - Fax:
Practice Address - Street 1:2765 NE RED OAK DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-8348
Practice Address - Country:US
Practice Address - Phone:541-410-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist