Provider Demographics
NPI:1992943468
Name:CATTOLICO, LAUREN NICOLE (MA, MFT)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:NICOLE
Last Name:CATTOLICO
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4262
Mailing Address - Country:US
Mailing Address - Phone:925-997-4070
Mailing Address - Fax:
Practice Address - Street 1:115 TOWN AND COUNTRY DR
Practice Address - Street 2:SUITE A
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3960
Practice Address - Country:US
Practice Address - Phone:925-837-0505
Practice Address - Fax:925-837-0568
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist