Provider Demographics
NPI:1083993570
Name:CATHY C. KANE, PH.D
Entity Type:Organization
Organization Name:CATHY C. KANE, PH.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-678-2913
Mailing Address - Street 1:454 DANSEL ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2627
Mailing Address - Country:US
Mailing Address - Phone:330-678-2913
Mailing Address - Fax:
Practice Address - Street 1:401 DEVON PL
Practice Address - Street 2:SUITE 230
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6482
Practice Address - Country:US
Practice Address - Phone:330-673-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4816103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty