Provider Demographics
NPI:1003595828
Name:LINSANGAN, CATHERINE ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:LINSANGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:648 INDEPENDENCE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5208
Mailing Address - Country:US
Mailing Address - Phone:757-776-0790
Mailing Address - Fax:
Practice Address - Street 1:648 INDEPENDENCE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5208
Practice Address - Country:US
Practice Address - Phone:757-776-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician