Provider Demographics
NPI:1629810817
Name:WISSINGER, CATALINA (MS-SLP)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:WISSINGER
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 TOPSAIL DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1216
Mailing Address - Country:US
Mailing Address - Phone:561-603-5590
Mailing Address - Fax:
Practice Address - Street 1:6345 TOPSAIL DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1216
Practice Address - Country:US
Practice Address - Phone:561-603-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ11935235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist