1881835114 NPI number — MRS. CATHERINE ANNE FLYNN VULLO SLP

Table of content: MRS. CATHERINE ANNE FLYNN VULLO SLP (NPI 1881835114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881835114 NPI number — MRS. CATHERINE ANNE FLYNN VULLO SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLYNN VULLO
Provider First Name:
CATHERINE
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLYNN VULLO
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881835114
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 MARTLING AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLEASANTVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10570-3119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-329-2595
Provider Business Mailing Address Fax Number:
914-747-4691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 MARTLING AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLEASANTVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10570-3119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-329-2595
Provider Business Practice Location Address Fax Number:
914-747-4691
Provider Enumeration Date:
03/17/2009

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:  017256 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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