Provider Demographics
NPI:1255516811
Name:O'HAYER, CATHERINE VIRGINIA (PHD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:VIRGINIA
Last Name:O'HAYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:VIRGINIA
Other - Last Name:FENWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1101 MARKET ST
Mailing Address - Street 2:FL 30
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2934
Mailing Address - Country:US
Mailing Address - Phone:215-503-3685
Mailing Address - Fax:215-955-2420
Practice Address - Street 1:1427 VINE ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1031
Practice Address - Country:US
Practice Address - Phone:215-831-4611
Practice Address - Fax:215-831-2603
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017228103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist