Provider Demographics
NPI:1215309604
Name:MORALES, CATHY (MS ED, MSW)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:MS ED, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5422
Mailing Address - Country:US
Mailing Address - Phone:646-373-3534
Mailing Address - Fax:
Practice Address - Street 1:76 PALMER ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5422
Practice Address - Country:US
Practice Address - Phone:646-373-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-24
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1215309604OtherEARLY INTERVANTION