Provider Demographics
NPI:1275877565
Name:LINARES, CATHERINE CELINA (MS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CELINA
Last Name:LINARES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LINARES
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MC
Mailing Address - Street 1:3805 PALMETTO AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5751
Mailing Address - Country:US
Mailing Address - Phone:803-896-8486
Mailing Address - Fax:803-896-9014
Practice Address - Street 1:1720 SHIVERS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5413
Practice Address - Country:US
Practice Address - Phone:803-896-8486
Practice Address - Fax:803-896-9014
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist