Provider Demographics
NPI:1285017384
Name:MUNROE, CATHERINE (BSCMACCC SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MUNROE
Suffix:
Gender:
Credentials:BSCMACCC SLP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 MORNING GLORY HL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-7121
Mailing Address - Country:US
Mailing Address - Phone:434-466-9658
Mailing Address - Fax:
Practice Address - Street 1:4238 JAMES MADISON HIGHWAY
Practice Address - Street 2:GENESIS REHAB SERVICES
Practice Address - City:FORK UNION
Practice Address - State:VA
Practice Address - Zip Code:23055
Practice Address - Country:US
Practice Address - Phone:434-214-3023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01097449235Z00000X
VA2202003881235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2202003881OtherVIRGINIA STATE SLP LICENSE
VA01097449OtherASHA