MEDICARE: MS. CATHERINE MARGUERITE LAYTON LMSW

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	1041S0200X	School Social Worker	050793	NY

General Provider Information

NPI Number	:	1497038277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE MARGUERITE LAYTON LMSW

Provider Business Mailing Address
First Line	:	1122 ELLIS HOLLOW RD
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-2945
Country	:	US
Telephone Number	:	607-256-5135
Fax Number	:

Provider Business Practice Location Address
First Line	:	2439 SLATERVILLE RD
Second Line	:
City	:	SLATERVILLE SPRINGS
State	:	NY
Zip	:	14881-9402
Country	:	US
Telephone Number	:	607-882-9866
Fax Number	:

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

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	09/27/2011

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