MEDICARE: CATHERINE ELAINE STAPLETON MA-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
1	235Z00000X	Speech-Language Pathologist	SP.06944	OH

General Provider Information

NPI Number	:	1891422218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ELAINE STAPLETON MA-CCC-SLP

Provider Business Mailing Address
First Line	:	3728 CHESTNUT WAY
Second Line	:
City	:	AMELIA
State	:	OH
Zip	:	45102-1244
Country	:	US
Telephone Number	:	513-240-5381
Fax Number	:

Provider Business Practice Location Address
First Line	:	1131 BETHEL NEW RICHMOND RD
Second Line	:
City	:	NEW RICHMOND
State	:	OH
Zip	:	45157-8530
Country	:	US
Telephone Number	:	513-553-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2022
Last Update Date	:	08/05/2022

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Directions to “ CATHERINE ELAINE STAPLETON MA-CCC-SLP” Practice Location

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