Provider Demographics
NPI:1124778428
Name:CLAUSS, CATHERINE AE (LCAT, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:AE
Last Name:CLAUSS
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 BARROW HL
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9660
Mailing Address - Country:US
Mailing Address - Phone:585-503-0103
Mailing Address - Fax:
Practice Address - Street 1:1575 BARROW HL
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9660
Practice Address - Country:US
Practice Address - Phone:585-503-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000390-01221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist