Provider Demographics
NPI:1790366870
Name:CATUCCI, SARAH STARBUCK (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:STARBUCK
Last Name:CATUCCI
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 PARAMUS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4282
Mailing Address - Country:US
Mailing Address - Phone:203-565-5034
Mailing Address - Fax:
Practice Address - Street 1:2919 OLNEY SANDY SPRING RD STE C
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1588
Practice Address - Country:US
Practice Address - Phone:240-753-6534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11237101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional