MEDICARE: CATHERINE ROE M.S. 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
2	390200000X	Student in an Organized Health Care Education/Training Program
3	235Z00000X	Speech-Language Pathologist	022386	NY

General Provider Information

NPI Number	:	1952659500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ROE M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	108 JACKSON ST APT 4A
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 STARR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-2705
Country	:	US
Telephone Number	:	718-821-4248
Fax Number	:

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

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	11/15/2023

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Directions to “ CATHERINE ROE M.S. CCC-SLP” Practice Location

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