Individual
MRS. CATHERINE ANN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
709 COUNTRY CLUB RD, VESTAL, NY 13850
(607) 757-2357
Mailing address
1609 CAMPUS DRIVE, VESTAL, NY 13850
(607) 772-1462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9561
NY
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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