Provider Demographics
NPI:1942401799
Name:PRUEFER, CATHERINE (MFT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:PRUEFER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SAXONY RD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1837
Mailing Address - Country:US
Mailing Address - Phone:760-736-2671
Mailing Address - Fax:760-944-6036
Practice Address - Street 1:1301 SAXONY RD
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1837
Practice Address - Country:US
Practice Address - Phone:760-736-2671
Practice Address - Fax:760-944-6036
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32648106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist