| Doctor Name: | KATHERINE CANONICO |
| NPI Number: | 1003115791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP, TSSLD |
| License Number: | 020234-1 |
| Business Practice Address: | 369 E 148th St Lower Level Bronx, NY - 104554041 |
| Business Phone Number: | 7187692698 |
| Business Fax Number: | 7187692317 |
| Mailing Address: | 240 E 85th St Apt 4b, NEW YORK |
| State: | NY |
| Postal Code: | 100283048 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2011 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 020234-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |