Provider Demographics
NPI:1558584383
Name:GATTUSO, CATHY E (LCSW, BCD, PC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:E
Last Name:GATTUSO
Suffix:
Gender:F
Credentials:LCSW, BCD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 BEE CAVES ROAD
Mailing Address - Street 2:125
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-327-9883
Mailing Address - Fax:512-327-3916
Practice Address - Street 1:3103 BEE CAVE RD
Practice Address - Street 2:125
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5586
Practice Address - Country:US
Practice Address - Phone:512-327-9883
Practice Address - Fax:512-327-3916
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX030911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical