Catherine J. Baltunis-Johnson

Individual provider Active NPI Speech-Language Pathologist · Tavares, FL

NPI 1316170285 · NPPES record last updated Aug 26, 2009

Key facts

NPI
1316170285
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
2762 Dora Ave
Tavares, FL 32778-4970
Phone
(352) 742-7837
Fax
(352) 742-7837
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

2762 Dora Ave
Tavares, FL 32778-4970

Mailing address

2762 Dora Ave
Tavares, FL 32778-4970
Phone (352) 742-7837

Other providers in Tavares, FL

All providers in Tavares, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.