Provider Demographics
NPI:1255960142
Name:INGALDI, MARY-CATHERINE
Entity type:Individual
Prefix:
First Name:MARY-CATHERINE
Middle Name:
Last Name:INGALDI
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 1:4224 LAKE PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-2364
Mailing Address - Country:US
Mailing Address - Phone:814-920-0000
Mailing Address - Fax:
Practice Address - Street 1:4224 LAKE PLEASANT RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-2364
Practice Address - Country:US
Practice Address - Phone:814-825-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer