Healthcare Provider Details

I. General information

NPI: 1184015653
Provider Name (Legal Business Name): CATHERINE CLAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2241 W WILLIAMS ST
LONG BEACH CA
90810-3652
US

IV. Provider business mailing address

2241 W WILLIAMS ST
LONG BEACH CA
90810-3652
US

V. Phone/Fax

Practice location:
  • Phone: 562-388-8183
  • Fax: 562-388-8178
Mailing address:
  • Phone: 562-388-8183
  • Fax: 562-388-8178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: