Provider Demographics
NPI:1043378987
Name:HALLIDAY, CATHERINE JANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:JANE
Last Name:HALLIDAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 TUPPER RD
Mailing Address - Street 2:
Mailing Address - City:NEWFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14867-9751
Mailing Address - Country:US
Mailing Address - Phone:607-279-5439
Mailing Address - Fax:
Practice Address - Street 1:122 W COURT ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4165
Practice Address - Country:US
Practice Address - Phone:607-279-5439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-0507151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical