Provider Demographics
NPI:1013169432
Name:CATTANACH, MARIE-LYS (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARIE-LYS
Middle Name:
Last Name:CATTANACH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 N HIGHLAND AVE
Mailing Address - Street 2:AUDIOLOGIST TEMP SERVICES
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-600-5011
Mailing Address - Fax:
Practice Address - Street 1:1304 N HIGHLAND AVE
Practice Address - Street 2:AUDIOLOGIST TEMP SERVICES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-600-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005994231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist