Provider Demographics
NPI:1255797213
Name:MIERS, CATHERINE ELIZABETH FAIG (MS, CGC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH FAIG
Last Name:MIERS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:FAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:4650 W SUNSET BLVD # 90
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-376-0875
Mailing Address - Fax:323-361-1172
Practice Address - Street 1:8402 HARCOURT RD
Practice Address - Street 2:SUITE 300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2074
Practice Address - Country:US
Practice Address - Phone:317-338-5243
Practice Address - Fax:317-338-8244
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN74000101A170300000X
CAGC001080170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS