Provider Demographics
NPI:1952779803
Name:PINTWALA YATES, CATHY LYNNE (MS SLP DOE CERTIFI)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:LYNNE
Last Name:PINTWALA YATES
Suffix:
Gender:F
Credentials:MS SLP DOE CERTIFI
Other - Prefix:MS
Other - First Name:CATHY
Other - Middle Name:LYNNE
Other - Last Name:PINTWALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP MS
Mailing Address - Street 1:7455 SAN CASA DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-9013
Mailing Address - Country:US
Mailing Address - Phone:843-504-9047
Mailing Address - Fax:
Practice Address - Street 1:7455 SAN CASA DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-9013
Practice Address - Country:US
Practice Address - Phone:843-504-9047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDOE CERT #872324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist