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NPI Code Detail

MEDICARE: MRS. CATHERINE HERRERA M.S.,CCC-SLP

MEDICARE: MRS. CATHERINE HERRERA 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
1235Z00000XSpeech-Language Pathologist016120-1NY

General Provider Information

NPI Number : 1104131317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE HERRERA M.S.,CCC-SLP
Provider Business Mailing Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number : 718-448-7774
Fax Number : 718-448-8196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 09/08/2011

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Directions to “ MRS. CATHERINE HERRERA M.S.,CCC-SLP” Practice Location

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