Provider Demographics
NPI:1417091554
Name:RIVERA, CATHERINE E (MS, MM, MT-BC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MS, MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-3305
Mailing Address - Country:US
Mailing Address - Phone:831-915-7260
Mailing Address - Fax:
Practice Address - Street 1:2035 CROSS ST
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-3305
Practice Address - Country:US
Practice Address - Phone:831-915-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist