Provider Demographics
NPI:1427325141
Name:BRONZA, CATHERINE L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:L
Last Name:BRONZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1767
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-1767
Mailing Address - Country:US
Mailing Address - Phone:407-540-1512
Mailing Address - Fax:
Practice Address - Street 1:222 W COMSTOCK AVE STE 112
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4272
Practice Address - Country:US
Practice Address - Phone:407-540-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW67521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical