Provider Demographics
NPI:1679900518
Name:CATLETT, ALLISTER TENNILLE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISTER
Middle Name:TENNILLE
Last Name:CATLETT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ALLISTER
Other - Middle Name:TENNILLE
Other - Last Name:HAYE-CATLETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:512 UNION ST
Mailing Address - Street 2:CRRT AT WATER'S EDGE
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2800
Mailing Address - Country:US
Mailing Address - Phone:609-599-2778
Mailing Address - Fax:609-599-2774
Practice Address - Street 1:512 UNION ST
Practice Address - Street 2:CRRT AT WATER'S EDGE
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2800
Practice Address - Country:US
Practice Address - Phone:609-599-2778
Practice Address - Fax:609-599-2774
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05076200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker