Provider Demographics
NPI:1043347321
Name:WUEST-STROMBERG, CATHY NMI (LMFT715)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:NMI
Last Name:WUEST-STROMBERG
Suffix:
Gender:F
Credentials:LMFT715
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 CAPITAL CIR NE STE 206
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-0596
Mailing Address - Country:US
Mailing Address - Phone:850-350-9800
Mailing Address - Fax:
Practice Address - Street 1:1725 CAPITAL CIR NE STE 206
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-0596
Practice Address - Country:US
Practice Address - Phone:850-350-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT715106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist