Provider Demographics
NPI:1598903429
Name:OLBERDING, CATHY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:OLBERDING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 W CURTIS DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3041
Mailing Address - Country:US
Mailing Address - Phone:405-455-5244
Mailing Address - Fax:
Practice Address - Street 1:804 W CURTIS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3041
Practice Address - Country:US
Practice Address - Phone:405-455-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19556101YP2500X
OK1636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional