Provider Demographics
NPI:1467677633
Name:MORRIS, CATHERINE M
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 OAK GROVE AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4433
Mailing Address - Country:US
Mailing Address - Phone:650-508-8926
Mailing Address - Fax:650-475-1827
Practice Address - Street 1:885 OAK GROVE AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4433
Practice Address - Country:US
Practice Address - Phone:650-508-8926
Practice Address - Fax:650-475-1827
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA73-1673353OtherEMPLOYER ID