Provider Demographics
NPI:1093259632
Name:CLASSEN, CATHERINE CLARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:CLARA
Last Name:CLASSEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2727 MARIPOSA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1472
Mailing Address - Country:US
Mailing Address - Phone:415-437-3000
Mailing Address - Fax:415-437-3050
Practice Address - Street 1:2727 MARIPOSA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1472
Practice Address - Country:US
Practice Address - Phone:415-437-3000
Practice Address - Fax:415-437-3050
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14312103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical