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NPI Code Detail

MEDICARE: CATHERINE CELINA LINARES M.S.

MEDICARE:   CATHERINE CELINA LINARES  M.S.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1275877565
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE CELINA LINARES M.S.
Provider Business Mailing Address
First Line : 3805 PALMETTO AVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-5751
Country : US
Telephone Number : 803-896-8486
Fax Number : 803-896-9014
Provider Business Practice Location Address
First Line : 1720 SHIVERS RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-5413
Country : US
Telephone Number : 803-896-8486
Fax Number : 803-896-9014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2012
Last Update Date : 11/27/2012

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Directions to “ CATHERINE CELINA LINARES M.S.” Practice Location

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