Individual
MRS. CATHERINE ANN LANE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-7518
Mailing address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-7518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005530-1
NY
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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