Provider Demographics
NPI:1134420409
Name:CORCORAN, CATHERINE CHRISTY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:CHRISTY
Last Name:CORCORAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CATE
Other - Middle Name:
Other - Last Name:CORCORAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:55 NEW MONTGOMERY ST
Mailing Address - Street 2:STE 420
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3429
Mailing Address - Country:US
Mailing Address - Phone:415-419-3558
Mailing Address - Fax:
Practice Address - Street 1:55 NEW MONTGOMERY ST
Practice Address - Street 2:STE 420
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3429
Practice Address - Country:US
Practice Address - Phone:415-419-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23897103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical