Provider Demographics
NPI:1194976811
Name:MORRIN, CATHERINE (MS)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:MORRIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SIERRA DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7240
Mailing Address - Country:US
Mailing Address - Phone:317-528-4253
Mailing Address - Fax:317-865-8319
Practice Address - Street 1:3700 W 203RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1180
Practice Address - Country:US
Practice Address - Phone:708-679-2560
Practice Address - Fax:708-503-3850
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000354231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL203979046OtherMEDICARE PTAN
IL147-000354OtherILINOIS PROFESSIONAL LICENSE NUMBER