Provider Demographics
NPI:1639943772
Name:WHITT, CATRINA RENEE
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:RENEE
Last Name:WHITT
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 1:913 HELMSDALE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2303
Mailing Address - Country:US
Mailing Address - Phone:216-262-5991
Mailing Address - Fax:
Practice Address - Street 1:913 HELMSDALE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44112-2303
Practice Address - Country:US
Practice Address - Phone:216-262-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency