Provider Demographics
NPI:1922231836
Name:EDELMANN, CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:EDELMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 INGLEWOOD BLVD APT 10
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5270
Mailing Address - Country:US
Mailing Address - Phone:310-391-7060
Mailing Address - Fax:310-391-7060
Practice Address - Street 1:1145 GAYLEY AVE
Practice Address - Street 2:SUITE 322
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3423
Practice Address - Country:US
Practice Address - Phone:310-208-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program