Provider Demographics
NPI:1598918880
Name:PANZARELLA, CATHERINE (PHD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PANZARELLA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 S 15TH ST
Mailing Address - Street 2:SUITE 1313
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2218
Mailing Address - Country:US
Mailing Address - Phone:215-988-0250
Mailing Address - Fax:215-988-0280
Practice Address - Street 1:42 S 15TH ST
Practice Address - Street 2:SUITE 1313
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2218
Practice Address - Country:US
Practice Address - Phone:215-988-0250
Practice Address - Fax:215-988-0280
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008031L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical