Provider Demographics
NPI:1851507750
Name:BLUSIEWICZ, CATHERINE OTT (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:OTT
Last Name:BLUSIEWICZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3423 PIEDMONT RD NE
Mailing Address - Street 2:SUITE 516
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1754
Mailing Address - Country:US
Mailing Address - Phone:404-237-7511
Mailing Address - Fax:404-843-1988
Practice Address - Street 1:3423 PIEDMONT RD NE
Practice Address - Street 2:SUITE 516
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1754
Practice Address - Country:US
Practice Address - Phone:404-237-7511
Practice Address - Fax:404-843-1988
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA1081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical