Provider Demographics
NPI:1457602112
Name:CATTERALL, ROSA LUZ (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:LUZ
Last Name:CATTERALL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:ROSA
Other - Middle Name:LUZ
Other - Last Name:CARRILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:2100 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2845
Mailing Address - Country:US
Mailing Address - Phone:717-578-5396
Mailing Address - Fax:
Practice Address - Street 1:2100 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2845
Practice Address - Country:US
Practice Address - Phone:717-578-5396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW010460L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker