MEDICARE: DR. CATHERINE MCAULIFFE LPC, PHD

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	101YP2500X	Professional Counselor	002437	CT

General Provider Information

NPI Number	:	1558717181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE MCAULIFFE LPC, PHD

Provider Business Mailing Address
First Line	:	15 SPRING GLEN DR
Second Line	:
City	:	MERIDEN
State	:	CT
Zip	:	06451-2720
Country	:	US
Telephone Number	:	203-464-3638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 LAFAYETTE BLVD FL 11
Second Line	:
City	:	BRIDGEPORT
State	:	CT
Zip	:	06604-4725
Country	:	US
Telephone Number	:	203-464-3638
Fax Number	:

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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