Doctor Name: | CATHERINE W. BARTOK |
NPI Number: | 1740332725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCPC |
License Number: | CC860 |
Business Practice Address: | 43 Sanford Rd. Unit # 1 Wells, ME - 04090 |
Business Phone Number: | 2076461147 |
Business Fax Number: | |
Mailing Address: | Po Box 1054, WELLS |
State: | ME |
Postal Code: | 040901054 |
Phone Number: | 2076461147 |
Fax Number: | 2076461147 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |