Provider Demographics
NPI:1265198865
Name:WILLIAMS, CATHARINE
Entity type:Individual
Prefix:
First Name:CATHARINE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-5137
Mailing Address - Country:US
Mailing Address - Phone:415-845-9514
Mailing Address - Fax:
Practice Address - Street 1:1500 LAUREL ST
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-5137
Practice Address - Country:US
Practice Address - Phone:650-394-5696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1558535518OtherEMILY VON SCHEVEN
CA1437679321OtherSTEPHANIE MOODY