Individual
KATHERINE CUSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(603) 883-0005
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(603) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS2625
ME
Other
Enumeration date
03/13/2023
Last updated
01/21/2025
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