Provider Demographics
NPI:1730608068
Name:TAFELSKI, CATHY LYNN
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LYNN
Last Name:TAFELSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 SARASOTA DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-4018
Mailing Address - Country:US
Mailing Address - Phone:419-824-8580
Mailing Address - Fax:
Practice Address - Street 1:1614 SARASOTA DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-4018
Practice Address - Country:US
Practice Address - Phone:419-824-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist