Provider Demographics
NPI:1760290878
Name:BARCLAY, CATHARINE B N (EDS, LEP)
Entity type:Individual
Prefix:MS
First Name:CATHARINE
Middle Name:B N
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:EDS, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WATER ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1531
Mailing Address - Country:US
Mailing Address - Phone:857-636-8382
Mailing Address - Fax:
Practice Address - Street 1:140 GOULD ST STE 290
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2397
Practice Address - Country:US
Practice Address - Phone:781-400-2605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA517720103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALEP10000138OtherTHE BOARD OF ALLIED MENTAL HEALTH AND HUMAN SERVICES PROFESSIONALS