Provider Demographics
NPI:1457461667
Name:AUMAN, CATHERINE IRENE (MFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:IRENE
Last Name:AUMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3105
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90408-3105
Mailing Address - Country:US
Mailing Address - Phone:310-460-9399
Mailing Address - Fax:310-207-8713
Practice Address - Street 1:2566 OVERLAND AVE STE 500B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-5600
Practice Address - Country:US
Practice Address - Phone:310-460-9399
Practice Address - Fax:310-207-8713
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT30784106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist