Healthcare Provider Details

I. General information

NPI: 1528907276
Provider Name (Legal Business Name): CATHERINE MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HIGGINS ST APT 2
ALLSTON MA
02134-2434
US

IV. Provider business mailing address

27 HIGGINS ST APT 2
ALLSTON MA
02134-2434
US

V. Phone/Fax

Practice location:
  • Phone: 720-318-1302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: