Healthcare Provider Details

I. General information

NPI: 1659329639
Provider Name (Legal Business Name): CATHERINE LOH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 MISSION STREET CITY AND COUNTY OF SAN FRANCISCO - HSA
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

PO BOX 7988 - U713 CITY AND COUNTY OF SAN FRANCISCO - HSA
SAN FRANCISCO CA
94120-7988
US

V. Phone/Fax

Practice location:
  • Phone: 415-558-4794
  • Fax:
Mailing address:
  • Phone: 415-558-4794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number19899
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number19899
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number19899
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY19899
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number19899
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number19899
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number19899
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number19899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: