Provider Demographics
NPI:1801672290
Name:GOYENECHE, CATHERINE PACITA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:PACITA
Last Name:GOYENECHE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 IREDELL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4120
Mailing Address - Country:US
Mailing Address - Phone:843-639-9557
Mailing Address - Fax:
Practice Address - Street 1:810 IREDELL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4120
Practice Address - Country:US
Practice Address - Phone:843-639-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5477103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service