Provider Demographics
NPI:1245043710
Name:GARBER, CATHY LYNN (CSW)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:LYNN
Last Name:GARBER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 E 3900 S STE 155
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1978
Mailing Address - Country:US
Mailing Address - Phone:801-263-1056
Mailing Address - Fax:801-261-3701
Practice Address - Street 1:339 E 3900 S STE 155
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-1978
Practice Address - Country:US
Practice Address - Phone:801-263-1056
Practice Address - Fax:801-261-3701
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10620374-3502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health