Provider Demographics
NPI:1306081567
Name:THORNTON, CATHY M (SLP)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:M
Last Name:THORNTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 LANCELOT DR
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14903-1037
Mailing Address - Country:US
Mailing Address - Phone:607-739-6760
Mailing Address - Fax:
Practice Address - Street 1:171 LANCELOT DR
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14903-1037
Practice Address - Country:US
Practice Address - Phone:607-739-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012355-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist