Provider Demographics
NPI:1417622150
Name:CATHERINE CUNDY AND ASSOCIATES
Entity Type:Organization
Organization Name:CATHERINE CUNDY AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:DIAN
Authorized Official - Last Name:CUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:530-515-7946
Mailing Address - Street 1:415 KNOLLCREST DR STE 100
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0129
Mailing Address - Country:US
Mailing Address - Phone:530-515-7946
Mailing Address - Fax:
Practice Address - Street 1:415 KNOLLCREST DR STE 100
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0129
Practice Address - Country:US
Practice Address - Phone:530-515-7946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty