Provider Demographics
NPI:1649459223
Name:CATHARINE A ABBOTT PHD INC
Entity type:Organization
Organization Name:CATHARINE A ABBOTT PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHARINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:I
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-949-9322
Mailing Address - Street 1:3832 N MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2820
Mailing Address - Country:US
Mailing Address - Phone:405-949-9322
Mailing Address - Fax:405-949-9321
Practice Address - Street 1:3832 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2820
Practice Address - Country:US
Practice Address - Phone:405-949-9322
Practice Address - Fax:405-949-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty