Healthcare Provider Details

I. General information

NPI: 1114851151
Provider Name (Legal Business Name): CATHERINE MARIE FRONDORF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BLACKBURN CTR
GLOUCESTER MA
01930-2268
US

IV. Provider business mailing address

130 ESSEX ST # 129
SOUTH HAMILTON MA
01982-2325
US

V. Phone/Fax

Practice location:
  • Phone: 978-283-7198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: