Provider Demographics
NPI:1730888538
Name:SALATA, KATHERINE (LMFT)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:
Last Name:SALATA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:AMARIS
Other - Middle Name:
Other - Last Name:SALATA, FSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:271 FINCH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2715
Mailing Address - Country:US
Mailing Address - Phone:203-237-8084
Mailing Address - Fax:203-686-1308
Practice Address - Street 1:271 FINCH AVENUE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2715
Practice Address - Country:US
Practice Address - Phone:203-237-8084
Practice Address - Fax:203-686-1308
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3065106H00000X
CT003065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist