Healthcare Provider Details

I. General information

NPI: 1699325225
Provider Name (Legal Business Name): CATHERINE ANNE AURORA PINNOLA MS, CAGS, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1489 W PALMETTO PARK RD SUITE #410-B1
BOCA RATON FL
33486
US

IV. Provider business mailing address

840 SW 20TH ST
BOCA RATON FL
33486
US

V. Phone/Fax

Practice location:
  • Phone: 843-796-3451
  • Fax:
Mailing address:
  • Phone: 843-796-3451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: