Provider Demographics
NPI:1689633034
Name:SMITH, CATHERINE MARKEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARKEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CANDACE
Other - Last Name:MARKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 E VISTA CHINO # A7-512
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-3559
Mailing Address - Country:US
Mailing Address - Phone:760-219-6879
Mailing Address - Fax:
Practice Address - Street 1:1717 E VISTA CHINO # A7-512
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3559
Practice Address - Country:US
Practice Address - Phone:760-219-6879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14148101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional