Provider Demographics
NPI:1124416276
Name:FUNES, CATHERINE (PSYD LMHC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:FUNES
Suffix:
Gender:F
Credentials:PSYD LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EAST HALLANDALE BEACH BLVD.
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5525
Mailing Address - Country:US
Mailing Address - Phone:954-362-8677
Mailing Address - Fax:954-458-8167
Practice Address - Street 1:200 EAST HALLANDALE BEACH BLVD.
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5525
Practice Address - Country:US
Practice Address - Phone:954-362-8677
Practice Address - Fax:954-458-8167
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12975101YM0800X
FLPY 9792103T00000X
FLPY9792103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist