Provider Demographics
NPI:1356428007
Name:LANHAM, CATHERINE HENSON (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:HENSON
Last Name:LANHAM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 KEWANEE AVE UNIT 7101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7050
Mailing Address - Country:US
Mailing Address - Phone:806-763-0173
Mailing Address - Fax:806-763-8047
Practice Address - Street 1:7021 KEWANEE AVE UNIT 7101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-7050
Practice Address - Country:US
Practice Address - Phone:806-763-0173
Practice Address - Fax:806-763-8047
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032720701Medicaid
TX032720701Medicaid