Doctor Name: | DR. CATHY LYNNE ASCIUTTO |
NPI Number: | 1184636938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY13867 |
Business Practice Address: | 1343 Stratford Ct Del Mar, CA - 92014 |
Business Phone Number: | 8582595454 |
Business Fax Number: | 8585239403 |
Mailing Address: | 1343 Stratford Ct, DEL MAR |
State: | CA |
Postal Code: | 92014 |
Phone Number: | 8582595454 |
Fax Number: | 8585239403 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY13867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |