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General NPI Number Information
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NPI Number | 1295981637
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Entity Type | Individual
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Provider Name | CATHERINE K. LAVIGNE M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/07/2022
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Provider Practice Location Address
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Address Line | 53 FOX HAVEN LN
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City | SAINT ALBANS
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State | VT
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Zip | 05478-2400
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Country | US
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Telephone | 802-524-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 53 FOX HAVEN LN
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City | SAINT ALBANS
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State | VT
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Zip | 05478-2400
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Country | US
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Telephone | 802-524-7331
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PROF. EDUCATOR NO #
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12055168 - ASHA CERT
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 144.0117563
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 015.0000817
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License Number State | VT
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