Provider Demographics
NPI:1710521216
Name:CATHERINE SULLIVAN-WINDT PH.D., LLC
Entity Type:Organization
Organization Name:CATHERINE SULLIVAN-WINDT PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN-WINDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-801-9700
Mailing Address - Street 1:600 WYNDHURST AVE STE 307A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2419
Mailing Address - Country:US
Mailing Address - Phone:410-801-9700
Mailing Address - Fax:
Practice Address - Street 1:600 WYNDHURST AVE STE 307A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2419
Practice Address - Country:US
Practice Address - Phone:410-801-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty