Provider Demographics
NPI:1528124278
Name:MORNEAULT, CATHERINE LEADEN (MD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LEADEN
Last Name:MORNEAULT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:385 CHURCH ST
Mailing Address - Street 2:101
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437
Mailing Address - Country:US
Mailing Address - Phone:203-453-0361
Mailing Address - Fax:203-453-8510
Practice Address - Street 1:385 CHURCH ST
Practice Address - Street 2:101
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437
Practice Address - Country:US
Practice Address - Phone:203-453-0361
Practice Address - Fax:203-453-8510
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037428208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT037428OtherCT PHYSICIAN LICENSE
CT27693OtherCT CSR
CTBL2352704OtherFED DEA REGISTRATION