Provider Demographics
NPI:1437590205
Name:HERR, CATHRYN M (BA, BHRS/PSRS)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:M
Last Name:HERR
Suffix:
Gender:F
Credentials:BA, BHRS/PSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 DEWEY AVE
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-4224
Mailing Address - Country:US
Mailing Address - Phone:918-649-0909
Mailing Address - Fax:918-649-0404
Practice Address - Street 1:205 DEWEY AVE
Practice Address - Street 2:SUITE # 2
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-4224
Practice Address - Country:US
Practice Address - Phone:918-649-0909
Practice Address - Fax:918-649-0404
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation