Individual
MR. BRUCE A CATALANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
(216) 281-9565
Mailing address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
(216) 281-9565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0000685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457523
—
OH
01
—
341300581048
CARESOURCE
OH
01
—
341300581BC
SUMMA
OH
01
—
745398
CENPATICO
OH
01
—
N373127
WELLCARE
OH
Enumeration date
07/07/2006
Last updated
12/21/2011
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