Provider Demographics
NPI:1922516301
Name:MICHAEL CATALANELLO, PH.D.,LLC
Entity Type:Organization
Organization Name:MICHAEL CATALANELLO, PH.D.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALANELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:985-634-9660
Mailing Address - Street 1:1250 SW RAILROAD AVE STE 240B
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5065
Mailing Address - Country:US
Mailing Address - Phone:985-634-9660
Mailing Address - Fax:855-445-4199
Practice Address - Street 1:1250 SW RAILROAD AVE STE 240B
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5065
Practice Address - Country:US
Practice Address - Phone:985-634-9660
Practice Address - Fax:855-445-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty