Provider Demographics
NPI:1629458153
Name:CRITCHFIELD, CATHERINE ANN (MA, MFTI)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:CRITCHFIELD
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 CAMDEN AVE # 253
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2024
Mailing Address - Country:US
Mailing Address - Phone:408-761-8587
Mailing Address - Fax:
Practice Address - Street 1:2059 CAMDEN AVE # 253
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2024
Practice Address - Country:US
Practice Address - Phone:408-761-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist