Catherine Provenzano
Catherine Provenzano is a Clinical Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
1050 Hallock AvePort Jefferson Station, NY 11776-1214
Phone: (631) 487-5162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 081438 (NY) |
|---|
Record details
| NPI number | 1508269838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2014 |
| Last updated in NPPES | October 1, 2014 |
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