Provider Demographics
NPI:1881102291
Name:VALAREZO, CATHERINA ELIZABETH (MA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINA
Middle Name:ELIZABETH
Last Name:VALAREZO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 W 43RD ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1612
Mailing Address - Country:US
Mailing Address - Phone:443-600-4503
Mailing Address - Fax:
Practice Address - Street 1:11911 JENIFER RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-7473
Practice Address - Country:US
Practice Address - Phone:800-554-7549
Practice Address - Fax:866-667-1051
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist