Provider Demographics
NPI:1982756003
Name:BARRETT, CATHY D (LMFT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:D
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 NORBERT COURT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148
Mailing Address - Country:US
Mailing Address - Phone:408-274-1814
Mailing Address - Fax:
Practice Address - Street 1:2020 FOREST AVENUE SUITE 6
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:AL
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-885-0288
Practice Address - Fax:408-885-0288
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 24800106H00000X
NC632106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist