Provider Demographics
NPI:1790844942
Name:DEVANEY, CATHERINE MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARIE
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:DEVANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:22 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5119
Mailing Address - Country:US
Mailing Address - Phone:781-338-2640
Mailing Address - Fax:781-338-2217
Practice Address - Street 1:75 FOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6210
Practice Address - Country:US
Practice Address - Phone:508-879-9800
Practice Address - Fax:508-875-1348
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health