Provider Demographics
NPI:1609275874
Name:HUYNH, CATHERINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:HUYNH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NE 18TH AVE
Mailing Address - Street 2:1207
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3063
Mailing Address - Country:US
Mailing Address - Phone:561-247-1688
Mailing Address - Fax:954-324-8354
Practice Address - Street 1:900 NE 18TH AVE
Practice Address - Street 2:1207
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3063
Practice Address - Country:US
Practice Address - Phone:561-247-1688
Practice Address - Fax:954-324-8354
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW104431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical