Provider Demographics
NPI:1215386842
Name:CATTAFESTA, ALLISON (MSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CATTAFESTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 IVAN DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3415
Mailing Address - Country:US
Mailing Address - Phone:352-514-5312
Mailing Address - Fax:
Practice Address - Street 1:1809 IVAN DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3415
Practice Address - Country:US
Practice Address - Phone:352-514-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-04
Last Update Date:2016-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical