Provider Demographics
NPI:1659982825
Name:TEOTICO-LEE, CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:TEOTICO-LEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:TEOTICO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:7720 PAINTER AVE
Mailing Address - Street 2:STE C
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602
Mailing Address - Country:US
Mailing Address - Phone:310-825-0768
Mailing Address - Fax:
Practice Address - Street 1:7720 PAINTER AVE
Practice Address - Street 2:STE C
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602
Practice Address - Country:US
Practice Address - Phone:310-825-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61415931103TC0700X
CA34001103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical