Provider Demographics
NPI:1285648519
Name:KNOX, CATHY REGINA (GSW)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:REGINA
Last Name:KNOX
Suffix:
Gender:F
Credentials:GSW
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:REGINA
Other - Last Name:KNOX-RAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GSW
Mailing Address - Street 1:3300 WEST ESPLANADE AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-838-5716
Mailing Address - Fax:504-838-5714
Practice Address - Street 1:5001 WESTBANK EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072
Practice Address - Country:US
Practice Address - Phone:504-349-8708
Practice Address - Fax:504-329-8703
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8112104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker