Provider Demographics
NPI:1760536437
Name:GOMEZ, CATHARINE A V (MFT)
Entity Type:Individual
Prefix:MS
First Name:CATHARINE
Middle Name:A
Last Name:GOMEZ
Suffix:V
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N LANTANA ST
Mailing Address - Street 2:SUITE 269
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-9010
Mailing Address - Country:US
Mailing Address - Phone:805-383-4565
Mailing Address - Fax:805-383-4565
Practice Address - Street 1:333 N LANTANA ST
Practice Address - Street 2:SUITE 269
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-9010
Practice Address - Country:US
Practice Address - Phone:805-383-4565
Practice Address - Fax:805-383-4565
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33966174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist