NPI 1194913095 · live from the CMS NPI Registry
Liza Kaye Catallozzi, M.S., CCC-SLP
Speech-Language Pathologist, in Waltham, MA. National Provider Identifier 1194913095, active.
NPI record
| NPI | 1194913095 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 9 Hope Ave, Waltham, MA 02453 |
| Practice phone | 781-216-2000 |
| Mailing address | 88 Glenwood Ave, Pawtucket, RI 02860 |
| Enumerated | October 5, 2007 |
| Last updated | February 29, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SP00995 (RI) |
| Speech-Language Pathologist, primary | 235Z00000X | 8481 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.