Healthcare Provider Details

I. General information

NPI: 1841777414
Provider Name (Legal Business Name): MATTHEW CATHERN JR. MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3062
HELENDALE CA
92342-3062
US

IV. Provider business mailing address

PO BOX 3062
HELENDALE CA
92342-3062
US

V. Phone/Fax

Practice location:
  • Phone: 626-327-4507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14258631-3904
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160012
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: