1942486931 NPI number — MS. JUDITH ROMAN CATACORA CALDERON M.ED., CCC-SLP

Table of content: MS. JUDITH ROMAN CATACORA CALDERON M.ED., CCC-SLP (NPI 1942486931)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942486931 NPI number — MS. JUDITH ROMAN CATACORA CALDERON M.ED., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CATACORA CALDERON
Provider First Name:
JUDITH
Provider Middle Name:
ROMAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CALDERON
Provider Other First Name:
JUDITH
Provider Other Middle Name:
ROMAN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED., CCC-SLP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942486931
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 GEORGETOWN CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEVEN FIELDS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16046-7860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-772-8036
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3023 WILMINGTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105-1242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-656-8814
Provider Business Practice Location Address Fax Number:
724-656-8815
Provider Enumeration Date:
01/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SL006419L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com