Provider Demographics
NPI:1003265414
Name:MARSH, CATHERINE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:A
Last Name:MARSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BARNABAS RD # 66
Mailing Address - Street 2:
Mailing Address - City:HAWLEYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06440-1201
Mailing Address - Country:US
Mailing Address - Phone:917-575-9512
Mailing Address - Fax:
Practice Address - Street 1:6704 MYRTLE AVE #2080
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7058
Practice Address - Country:US
Practice Address - Phone:917-575-9512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001161-1101Y00000X, 221700000X, 246ZA2600X
NY025690103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty
No246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Multi-Specialty