Provider Demographics
NPI:1518245794
Name:MONK, CATHERINE M (LSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:MONK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 EISENHOWER BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3338
Mailing Address - Country:US
Mailing Address - Phone:814-266-2171
Mailing Address - Fax:814-288-1959
Practice Address - Street 1:1360 EISENHOWER BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3338
Practice Address - Country:US
Practice Address - Phone:814-266-2171
Practice Address - Fax:814-288-1959
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health