Provider Demographics
NPI:1649498841
Name:WOLFSON, CATHERINE SCHWARZKOPF (LMHC, LMFT, RN)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:SCHWARZKOPF
Last Name:WOLFSON
Suffix:
Gender:F
Credentials:LMHC, LMFT, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 JAMESTOWN DR
Mailing Address - Street 2:APT. A
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3644
Mailing Address - Country:US
Mailing Address - Phone:407-657-1778
Mailing Address - Fax:
Practice Address - Street 1:711 BALLARD ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5441
Practice Address - Country:US
Practice Address - Phone:407-339-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health