Provider Demographics
NPI:1033897806
Name:CATHERINE L BENOIST PSYD LLC
Entity Type:Organization
Organization Name:CATHERINE L BENOIST PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENOIST
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:314-310-6812
Mailing Address - Street 1:1846 PICKFAIR DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3626
Mailing Address - Country:US
Mailing Address - Phone:314-310-6812
Mailing Address - Fax:888-940-2010
Practice Address - Street 1:1034 S BRENTWOOD BLVD STE 1601
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1216
Practice Address - Country:US
Practice Address - Phone:847-220-4602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty