Healthcare Provider Details

I. General information

NPI: 1437262706
Provider Name (Legal Business Name): CATHERINE M LINTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WASHINGTON AVE SUITE 304
HAMDEN CT
06518
US

IV. Provider business mailing address

60 WASHINGTON AVE SUITE 304
HAMDEN CT
06518
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-2890
  • Fax: 203-281-2896
Mailing address:
  • Phone: 203-281-2890
  • Fax: 203-281-2896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number001789
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: