Provider Demographics
NPI:1841432440
Name:CATHERINE G CAUTHORNE PC
Entity Type:Organization
Organization Name:CATHERINE G CAUTHORNE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAUTHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-924-6005
Mailing Address - Street 1:174 CONCORD ST
Mailing Address - Street 2:SUITE 365
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1238
Mailing Address - Country:US
Mailing Address - Phone:603-924-6005
Mailing Address - Fax:
Practice Address - Street 1:174 CONCORD ST
Practice Address - Street 2:SUITE 365
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1238
Practice Address - Country:US
Practice Address - Phone:603-924-6005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH567251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health