Provider Demographics
NPI:1194948166
Name:WEINSTEN, CATHY A (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:A
Last Name:WEINSTEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CATHY
Other - Middle Name:A
Other - Last Name:MARKLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:26 TRUMBULL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6301
Mailing Address - Country:US
Mailing Address - Phone:203-776-0800
Mailing Address - Fax:
Practice Address - Street 1:26 TRUMBULL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6301
Practice Address - Country:US
Practice Address - Phone:203-776-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical