Healthcare Provider Details

I. General information

NPI: 1285017384
Provider Name (Legal Business Name): CATHERINE MUNROE B.SC.M.A.CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE REYNOLDS

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4238 JAMES MADISON HIGHWAY GENESIS REHAB SERVICES
FORK UNION VA
23055
US

IV. Provider business mailing address

28 MORNING GLORY HL
CHARLOTTESVILLE VA
22902-7121
US

V. Phone/Fax

Practice location:
  • Phone: 434-214-3023
  • Fax:
Mailing address:
  • Phone: 434-466-9658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202003881
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: