Provider Demographics
NPI:1639205479
Name:MORITZ, CATHERINE L (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:MORITZ
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3909
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-1015
Mailing Address - Country:US
Mailing Address - Phone:561-747-3799
Mailing Address - Fax:561-744-1956
Practice Address - Street 1:900 S US HWY # 1
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477
Practice Address - Country:US
Practice Address - Phone:561-747-3799
Practice Address - Fax:561-744-1956
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health