Provider Demographics
NPI:1538763016
Name:CATALOGO, ROSALYNN A (CMT, HHP)
Entity type:Individual
Prefix:
First Name:ROSALYNN
Middle Name:A
Last Name:CATALOGO
Suffix:
Gender:F
Credentials:CMT, HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 GAMBLE LN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4436
Mailing Address - Country:US
Mailing Address - Phone:818-800-8514
Mailing Address - Fax:
Practice Address - Street 1:1015 GAMBLE LN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4436
Practice Address - Country:US
Practice Address - Phone:818-800-8514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81932225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty