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NPI Code Detail

MEDICARE: CATHERINE JAVIER MS CCC-SLP

MEDICARE: CATHERINE JAVIER MS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist019630NY

General Provider Information

NPI Number : 1659685683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JAVIER MS CCC-SLP
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number :
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 10/19/2010

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Directions to “ CATHERINE JAVIER MS CCC-SLP” Practice Location

Language Start Address Practice Location
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