Provider Demographics
NPI:1952771404
Name:CATHEY, SCOTT GREGORY (LPC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:GREGORY
Last Name:CATHEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S HOLLAND ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2096
Mailing Address - Country:US
Mailing Address - Phone:316-729-9965
Mailing Address - Fax:
Practice Address - Street 1:520 S HOLLAND ST
Practice Address - Street 2:SUITE 401
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2096
Practice Address - Country:US
Practice Address - Phone:316-729-9965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-27
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2442101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor