Provider Demographics
NPI:1568847184
Name:FADDEN, CATHY
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:FADDEN
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 1:73 E MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1206
Mailing Address - Country:US
Mailing Address - Phone:978-221-6923
Mailing Address - Fax:978-221-6924
Practice Address - Street 1:73 E MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1206
Practice Address - Country:US
Practice Address - Phone:978-221-6923
Practice Address - Fax:978-221-6924
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker