CATHERINE ANNE AURORA PINNOLA


Address: 4012 Atalaya Pl, Myrtle Beach, SC 29579-5175
Phone: 2672210535

CATHERINE ANNE AURORA PINNOLA (NPI# 1699325225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699325225
Entity Type Individual
Full Name CATHERINE ANNE AURORA PINNOLA
Credential MS, CAGS, NCSP
Practice Address 4012 Atalaya Pl
Myrtle Beach
SC 29579-5175
Practice Telephone 2672210535
Mailing Telephone 2672210535
Enumeration Date 2019-09-16
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
279470 SC Behavioral Health & Social Service Providers

Office Location

Street Address 4012 ATALAYA PL
City MYRTLE BEACH
State SC
Zip Code 29579-5175

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City MYRTLE BEACH
Zip Code 29579

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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