Provider Demographics
NPI:1891867750
Name:CATHY M. TENCH, PSY. D., P. C.
Entity Type:Organization
Organization Name:CATHY M. TENCH, PSY. D., P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:TENCH
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:770-519-2047
Mailing Address - Street 1:PO BOX 1241
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-1421
Mailing Address - Country:US
Mailing Address - Phone:706-886-1101
Mailing Address - Fax:706-886-0401
Practice Address - Street 1:217 N BROAD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-2337
Practice Address - Country:US
Practice Address - Phone:706-886-1101
Practice Address - Fax:706-886-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY 002253103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty