Provider Demographics
NPI:1255488219
Name:SPENCE, CATHERINE T (LMHC,LMFT,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:T
Last Name:SPENCE
Suffix:
Gender:F
Credentials:LMHC,LMFT,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MA
Mailing Address - Zip Code:01254-5130
Mailing Address - Country:US
Mailing Address - Phone:413-698-2775
Mailing Address - Fax:413-698-2776
Practice Address - Street 1:54 WENDELL AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6312
Practice Address - Country:US
Practice Address - Phone:413-443-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA889101YM0800X
MA2011391041C0700X
MA406106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist