Provider Demographics
NPI:1669741385
Name:STILLER, CATRINA DANIELLE
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:DANIELLE
Last Name:STILLER
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 1:238 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-2162
Mailing Address - Country:US
Mailing Address - Phone:814-215-5559
Mailing Address - Fax:814-432-6688
Practice Address - Street 1:300 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1053
Practice Address - Country:US
Practice Address - Phone:814-437-5770
Practice Address - Fax:814-432-6688
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health