Provider Demographics
NPI:1467693218
Name:GUM, CATHIE FAYE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHIE
Middle Name:FAYE
Last Name:GUM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9171 WILSHIRE BLVD
Mailing Address - Street 2:STE 670
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5530
Mailing Address - Country:US
Mailing Address - Phone:310-922-1698
Mailing Address - Fax:310-872-5500
Practice Address - Street 1:9171 WILSHIRE BLVD
Practice Address - Street 2:STE 670
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5530
Practice Address - Country:US
Practice Address - Phone:310-922-1698
Practice Address - Fax:310-872-5500
Is Sole Proprietor?:No
Enumeration Date:2009-03-07
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22467103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical