Provider Demographics
NPI:1760601900
Name:VECCHIO, KATHERINE CHAFFIN JOHNSTON (MA, CCC, SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CHAFFIN JOHNSTON
Last Name:VECCHIO
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CEREMONIAL CLOSE
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-6905
Mailing Address - Country:US
Mailing Address - Phone:315-767-2224
Mailing Address - Fax:
Practice Address - Street 1:6 CEREMONIAL CLOSE
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-6905
Practice Address - Country:US
Practice Address - Phone:315-767-2224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist