Doctor Name: | DR. CATHERINE CANTRELL OXNER |
NPI Number: | 1295840759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 802 |
Business Practice Address: | 160 Holley Ferry Rd Leesville, SC - 290707262 |
Business Phone Number: | 8032065408 |
Business Fax Number: | |
Mailing Address: | 160 Holley Ferry Rd, LEESVILLE |
State: | SC |
Postal Code: | 290707262 |
Phone Number: | 8032065408 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |