Doctor Name: | CATHERINE RICHARDSON |
NPI Number: | 1184015729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2014022496 |
Business Practice Address: | 1132 Churchill Ct De Soto, MO - 630204711 |
Business Phone Number: | 3145414925 |
Business Fax Number: | 6363375230 |
Mailing Address: | 1132 Churchill Ct, DE SOTO |
State: | MO |
Postal Code: | 630204711 |
Phone Number: | 3145414925 |
Fax Number: | 6363375230 |
NPI Enumeration Date: | 02/17/2015 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2014022496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |