Healthcare Provider Details

I. General information

NPI: 1962322123
Provider Name (Legal Business Name): CATHERINE TRAPSKIN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 LA MESA BLVD # 416
LA MESA CA
91942-0335
US

IV. Provider business mailing address

8030 LA MESA BLVD # 416
LA MESA CA
91942-0335
US

V. Phone/Fax

Practice location:
  • Phone: 619-567-9448
  • Fax: 619-722-4213
Mailing address:
  • Phone: 619-567-9448
  • Fax: 619-722-4213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: