Provider Demographics
NPI:1497152326
Name:ECKEL, CATHERINE C (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:C
Last Name:ECKEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S SANTA CRUZ AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-6830
Mailing Address - Country:US
Mailing Address - Phone:408-396-6437
Mailing Address - Fax:
Practice Address - Street 1:20 S SANTA CRUZ AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6830
Practice Address - Country:US
Practice Address - Phone:408-396-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20055103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical