Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 001615 | CT |
N | 103TC0700X | Clinical Psychologist | 001615 | CT |
N | 103G00000X | Clinical Psychologist | 7964 | MA |
N | 103TC0700X | Clinical Psychologist | 7964 | MA |
N | 102L00000X | Psychologist | 001615 | CT |
N | 103T00000X | Psychologist | 001615 | CT |
N | 102L00000X | Psychologist | 7964 | MA |
N | 103T00000X | Psychologist | 7964 | MA |
N | 103G00000X | Clinical Psychologist | 001615 | CT |
N | 103TC0700X | Clinical Psychologist | 001615 | CT |
N | 103G00000X | Clinical Psychologist | 7964 | MA |
N | 103TC0700X | Clinical Psychologist | 7964 | MA |
N | 103TH0100X | Health Service | 001615 | CT |
N | 103TH0100X | Health Service | 7964 | MA |
NPI | 1174690085 |
---|---|
Provider Name | Lynn Cattanach |
First Address | Needham, MA 02492 |
Second Address | Wellesley, MA 02481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060001615CT02 | BCBS OF CT (01) | CT |