| Catherine Fatina, P.a. | |
|
1 Greenleaf Woods Dr Unit 302 Portsmouth NH 03801-5437 | |
| (603) 431-2033 | |
| Not Available |
| Full Name | Catherine Fatina, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 1 Greenleaf Woods Dr Unit 302, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Catherine Fatina (PRESIDENT) |
| Authorized Official Contact | 6034312033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Fatina, P.a. 1 Greenleaf Woods Dr Unit 302 Portsmouth NH 03801-5437 Ph: (603) 431-2033 | Catherine Fatina, P.a. 1 Greenleaf Woods Dr Unit 302 Portsmouth NH 03801-5437 Ph: (603) 431-2033 |
| NPI Number | 1932315405 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800943705 |
|---|---|
| Medicare Enrollment ID | O20090410000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932315405 | NPI | - | NPPES |
| 30007166 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 116 (New Hampshire) | Primary |
| Provider Name | Catherine Fatina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821120734 PECOS PAC ID: 4082770813 Enrollment ID: I20090303000723 |
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