Provider Demographics
NPI:1033740527
Name:CATANIA, BRIANNA VIRGINIA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:VIRGINIA
Last Name:CATANIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 S POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3956
Mailing Address - Country:US
Mailing Address - Phone:516-712-0743
Mailing Address - Fax:
Practice Address - Street 1:100 S CAROLINE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1703
Practice Address - Country:US
Practice Address - Phone:410-396-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist