Provider Demographics
NPI:1003061151
Name:SOUTTER, CATHEY (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:CATHEY
Middle Name:
Last Name:SOUTTER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 MCCOMMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5626
Mailing Address - Country:US
Mailing Address - Phone:214-828-9868
Mailing Address - Fax:
Practice Address - Street 1:17300 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5654
Practice Address - Country:US
Practice Address - Phone:972-733-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional