Provider Demographics
NPI:1518509710
Name:VAN DER WESTHUIZEN, CATHERINE (MA, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:VAN DER WESTHUIZEN
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:C
Other - Last Name:DONOHOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC,LMFT
Mailing Address - Street 1:4 GREEN GLADE CT
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-5027
Mailing Address - Country:US
Mailing Address - Phone:512-909-2535
Mailing Address - Fax:
Practice Address - Street 1:2106 RED STONE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4347
Practice Address - Country:US
Practice Address - Phone:832-326-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77576101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health