Organization Name: | CATHERINE E. MAIN, INC. |
NPI Number: | 1326279183 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE E. MAIN (PRESIDENT) |
Mailing Address: | 240 Tamal Vista Blvd Suite 270 Corte Madera |
State: | CA US |
Postal Code: | 949251132 |
Phone Number: | 4154570424 |
Fax Number: | 4153887371 |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 07/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | PSY13384 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |