MEDICARE: CATHY SCHULMAN HENDERSON LMHC

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
1	101YM0800X	Mental Health Counselor	2030	MA

General Provider Information

NPI Number	:	1104983378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY SCHULMAN HENDERSON LMHC

Provider Business Mailing Address
First Line	:	12 FLETCHER HILL LANE
Second Line	:
City	:	GROTON
State	:	MA
Zip	:	01450
Country	:	US
Telephone Number	:	978-448-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEETING HOUSE RD
Second Line	:	SUITE 16
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-2733
Country	:	US
Telephone Number	:	978-256-6119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

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