Doctor Name: | DR. CATHEY SOUTTER |
NPI Number: | 1003061151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LPC |
License Number: | 12078 |
Business Practice Address: | 17300 Preston Rd Dallas, TX - 752525654 |
Business Phone Number: | 9727336565 |
Business Fax Number: | |
Mailing Address: | 5422 Mccommas Blvd, DALLAS |
State: | TX |
Postal Code: | 752065626 |
Phone Number: | 2148289868 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |