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NPI Code Detail

MEDICARE: CATHERINE THERIAULT THERAPY PLLC

MEDICARE: CATHERINE THERIAULT THERAPY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1215871595
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHERINE THERIAULT THERAPY PLLC
Provider Business Mailing Address
First Line : 68 HARRISON AVE STE 605
Second Line : PMB #109678
City : BOSTON
State : MA
Zip : 02111-1929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 65 SHERRICK AVE
Second Line :
City : HOLBROOK
State : MA
Zip : 02343-1544
Country : US
Telephone Number : 781-929-7480
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CATHERINE BURNS THERIAULT
Credential : LICSW
Telephone Number : 781-929-7480
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “CATHERINE THERIAULT THERAPY PLLC ” Practice Location

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