Doctor Name: | CATHERINE EGAN |
NPI Number: | 1033454202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 218391 |
Business Practice Address: | 1290 Tremont St Behavioral Health Roxbury, MA - 021203432 |
Business Phone Number: | 6179893362 |
Business Fax Number: | 6179893227 |
Mailing Address: | 1290 Tremont St, Behavioral Health ROXBURY |
State: | MA |
Postal Code: | 021203432 |
Phone Number: | 6179893362 |
Fax Number: | 6179893227 |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 218391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |