Provider Demographics
NPI:1851773295
Name:MARREIRO, CATHERINE LOUISE (PHD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LOUISE
Last Name:MARREIRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LOUISE
Other - Last Name:PURDOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:533 AIRPORT BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2013
Mailing Address - Country:US
Mailing Address - Phone:650-770-2224
Mailing Address - Fax:650-770-2223
Practice Address - Street 1:533 AIRPORT BLVD
Practice Address - Street 2:STE 400
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2013
Practice Address - Country:US
Practice Address - Phone:650-770-2224
Practice Address - Fax:650-770-2223
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26835103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist