Provider Demographics
NPI:1780128975
Name:CATENA, CARRIE (101244)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:CATENA
Suffix:
Gender:F
Credentials:101244
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13115 E MESA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2144
Mailing Address - Country:US
Mailing Address - Phone:805-341-4246
Mailing Address - Fax:
Practice Address - Street 1:13115 E MESA VERDE DR
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2144
Practice Address - Country:US
Practice Address - Phone:805-341-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101244171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101244OtherNATIONAL BOARD OF CERTIFICATION FOR MEDICAL INTERPRETERS 101244