Provider Demographics
NPI:1871719971
Name:CATLIN, FAITH
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:CATLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MARKET ST.
Mailing Address - Street 2:P.O. BOX 183
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768
Mailing Address - Country:US
Mailing Address - Phone:603-795-4103
Mailing Address - Fax:603-795-4193
Practice Address - Street 1:20 W PARK ST
Practice Address - Street 2:SUITE 312
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1378
Practice Address - Country:US
Practice Address - Phone:603-448-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical