Provider Demographics
NPI:1992979637
Name:AUSTIN, CATHERINE M (MSSP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MSSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MEADOW POND RD
Mailing Address - Street 2:
Mailing Address - City:GILMANTON
Mailing Address - State:NH
Mailing Address - Zip Code:03237-5124
Mailing Address - Country:US
Mailing Address - Phone:603-369-9101
Mailing Address - Fax:
Practice Address - Street 1:85 SPRING ST
Practice Address - Street 2:LRGHEALTHCARE SPEECH THERAPY
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3113
Practice Address - Country:US
Practice Address - Phone:603-527-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1086235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist