Provider Demographics
NPI:1548933757
Name:PAPPAS, CATHERINE (SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 SHERMAN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-6102
Mailing Address - Country:US
Mailing Address - Phone:773-454-6115
Mailing Address - Fax:
Practice Address - Street 1:805 GREENWOOD ST STE 110
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-6521
Practice Address - Country:US
Practice Address - Phone:888-241-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.006299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist