Healthcare Provider Details

I. General information

NPI: 1699489575
Provider Name (Legal Business Name): CATHERINE HART WEBER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E COLORADO BLVD STE 1802ND
PASADENA CA
91101-6143
US

IV. Provider business mailing address

PO BOX 905
SIERRA MADRE CA
91025-0905
US

V. Phone/Fax

Practice location:
  • Phone: 646-453-6777
  • Fax: 833-900-1747
Mailing address:
  • Phone: 626-532-2408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number38056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: