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NPI Code Detail

MEDICARE: CATHERINE ELIZABETH RIVERA

MEDICARE: CATHERINE ELIZABETH RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1821363649
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ELIZABETH RIVERA
Provider Business Mailing Address
First Line : 2902 N ORANGE AVE
Second Line : APT 203
City : ORLANDO
State : FL
Zip : 32804-4605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 HUNTERS CREEK BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-7230
Country : US
Telephone Number : 407-504-7476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 03/12/2012

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Directions to “ CATHERINE ELIZABETH RIVERA ” Practice Location

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