Doctor Name: | MS. CATHERINE MARIE KERRIGAN |
NPI Number: | 1144493198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 273 |
Business Practice Address: | 559 Vincent St. Attn: 21 Mdos/sgoh - Mental Health Peterson Afb, CO - 809141540 |
Business Phone Number: | 7195568943 |
Business Fax Number: | 8668677926 |
Mailing Address: | 559 Vincent St., Attn: 21 Mdos/sgoh - Mental Health PETERSON AFB |
State: | CO |
Postal Code: | 809141540 |
Phone Number: | 7195568943 |
Fax Number: | 8668677926 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |