Provider Demographics
NPI:1497403166
Name:CATAUDELLA, RACHEL MARIE (MAATC, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:CATAUDELLA
Suffix:
Gender:F
Credentials:MAATC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2110
Mailing Address - Country:US
Mailing Address - Phone:203-923-3023
Mailing Address - Fax:
Practice Address - Street 1:75 CARTER DR
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2132
Practice Address - Country:US
Practice Address - Phone:860-575-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-12
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional