Provider Demographics
NPI:1093938094
Name:THRASHER, CATHRYN LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:LEE
Last Name:THRASHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:CATHRYN
Other - Middle Name:LEE
Other - Last Name:CULPEPPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1021 ARBOR TRCE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5379
Mailing Address - Country:US
Mailing Address - Phone:770-641-5490
Mailing Address - Fax:
Practice Address - Street 1:3600 MANSELL RD
Practice Address - Street 2:SUITE 310
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-3079
Practice Address - Country:US
Practice Address - Phone:770-641-5490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001704103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist