Provider Demographics
NPI:1609871177
Name:GREENHOUSE, CATHERINE (MS CCC-A)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:GREENHOUSE
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 ROANOKE AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-3957
Mailing Address - Country:US
Mailing Address - Phone:775-389-9136
Mailing Address - Fax:
Practice Address - Street 1:2233 WATT AVE STE 296
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0570
Practice Address - Country:US
Practice Address - Phone:775-389-9136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3769231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003404005Medicaid
NV002304080Medicaid