Provider Demographics
NPI:1457634669
Name:DONATO-CATANZARO, JEANINE R
Entity Type:Individual
Prefix:
First Name:JEANINE
Middle Name:R
Last Name:DONATO-CATANZARO
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 1:952 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1544
Mailing Address - Country:US
Mailing Address - Phone:716-278-9140
Mailing Address - Fax:
Practice Address - Street 1:952 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1544
Practice Address - Country:US
Practice Address - Phone:716-278-9140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010271-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist