Provider Demographics
NPI:1073084349
Name:CATHY FORREST, MA, LLP PLC
Entity Type:Organization
Organization Name:CATHY FORREST, MA, LLP PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP PLC
Authorized Official - Phone:231-730-4747
Mailing Address - Street 1:255 SEMINOLE ROAD
Mailing Address - Street 2:SUITE-205
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444
Mailing Address - Country:US
Mailing Address - Phone:231-730-4747
Mailing Address - Fax:231-799-9140
Practice Address - Street 1:255 SEMINOLE ROAD
Practice Address - Street 2:SUITE-205
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444
Practice Address - Country:US
Practice Address - Phone:231-730-4747
Practice Address - Fax:231-799-9140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty