Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 005875 | CT |
NPI | 1023410743 |
---|---|
Provider Name | Catherine Catti |
First Address | Old Saybrook, CT 06475-4214 |
Second Address | Old Saybrook, CT 06475-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2014 |
Last Update Date | 30/12/2014 |