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NPI Code Detail

MEDICARE: CATHERINE SMITH

MEDICARE:   CATHERINE  SMITH
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
1103K00000XBehavior Analyst422CT

General Provider Information

NPI Number : 1790203966
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE SMITH
Provider Business Mailing Address
First Line : 50 STANFORD DR
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2474
Country : US
Telephone Number : 860-321-8604
Fax Number :
Provider Business Practice Location Address
First Line : 50 STANFORD DR
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2474
Country : US
Telephone Number : 860-321-8604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2017
Last Update Date : 05/12/2026

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Directions to “ CATHERINE SMITH ” Practice Location

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