Doctor Name: | CATHLEEN M. DIMARZIO |
NPI Number: | 1104982941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC1966 |
Business Practice Address: | 30 Forest Falls Dr Suite 1 Yarmouth, ME - 040966983 |
Business Phone Number: | 2078461008 |
Business Fax Number: | |
Mailing Address: | 30 Forest Falls Dr, Suite 1 YARMOUTH |
State: | ME |
Postal Code: | 040966983 |
Phone Number: | 2078461008 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC1966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |