Provider Demographics
NPI:1962619205
Name:NUGENT, CATHERINE (MS)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:NUGENT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6636 PARK HALL DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3252
Mailing Address - Country:US
Mailing Address - Phone:410-746-7251
Mailing Address - Fax:
Practice Address - Street 1:6636 PARK HALL DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3252
Practice Address - Country:US
Practice Address - Phone:410-746-7251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health