Provider Demographics
NPI:1083777973
Name:CATTAN, MARY VT (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:VT
Last Name:CATTAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 E. PUTNAM AVENUE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830
Mailing Address - Country:US
Mailing Address - Phone:203-862-9161
Mailing Address - Fax:203-869-0743
Practice Address - Street 1:254 E. PUTNAM AVENUE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-862-9161
Practice Address - Fax:203-869-0743
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000268-1106H00000X
NY000-268-1106H00000X
CT001094106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist