Provider Demographics
NPI:1922538065
Name:HAUSMAN, CATHERINE RACHEL
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:RACHEL
Last Name:HAUSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 BLACKSMITH DR
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-8100
Mailing Address - Country:US
Mailing Address - Phone:831-295-9580
Mailing Address - Fax:
Practice Address - Street 1:1224 BLACKSMITH DR
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-8100
Practice Address - Country:US
Practice Address - Phone:831-529-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33146103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical