Provider Demographics
NPI:1821140674
Name:JOSEPH, CATHY LERMAN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LERMAN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CATHY
Other - Middle Name:ELLEN
Other - Last Name:LERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTL
Mailing Address - Street 1:11319 N 131ST PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4479
Mailing Address - Country:US
Mailing Address - Phone:480-314-1801
Mailing Address - Fax:480-314-2207
Practice Address - Street 1:8115 E INDIAN BEND RD
Practice Address - Street 2:SUITE 123
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4819
Practice Address - Country:US
Practice Address - Phone:480-951-6451
Practice Address - Fax:480-951-6464
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1820174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1820OtherOT STATE LICENSE #