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Individual

CATHERINE ELAINE FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
155 W 8TH ST STE 401, ERIE COUNTY CARE MANAGEMENT, ERIE, PA 16501-1044
(814) 871-5170
(814) 434-8411
Mailing address
176 CAMBRIDGE RD, ERIE, PA 16511
(814) 392-2386

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005422L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001870005
MEDICAID
PA
05
001879500
PA
01
09133213
AMERICAN SPEECH LANGUAGE
01
SL005422L
PA LICENSE
PA
Enumeration date
01/10/2006
Last updated
09/30/2020
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