Provider Demographics
NPI:1447735543
Name:CATAUDELLA, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:CATAUDELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:STILL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:01467-0068
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 STILL RIVER DEPOT ROAD
Practice Address - Street 2:
Practice Address - City:STILL RIVER
Practice Address - State:MA
Practice Address - Zip Code:01467
Practice Address - Country:US
Practice Address - Phone:978-790-0753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical