Healthcare Provider Details

I. General information

NPI: 1841432440
Provider Name (Legal Business Name): CATHERINE G CAUTHORNE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 CONCORD ST SUITE 365
PETERBOROUGH NH
03458-1238
US

IV. Provider business mailing address

174 CONCORD ST SUITE 365
PETERBOROUGH NH
03458-1238
US

V. Phone/Fax

Practice location:
  • Phone: 603-924-6005
  • Fax:
Mailing address:
  • Phone: 603-924-6005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number567
License Number StateNH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CATHERINE G CAUTHORNE
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 603-924-6005