Healthcare Provider Details

I. General information

NPI: 1558874214
Provider Name (Legal Business Name): CATHERINE CAHILL CAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATE CAHILL CAP

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 11/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 SW 1ST CT
BOYNTON BEACH FL
33426-4366
US

IV. Provider business mailing address

812 SW 1ST CT
BOYNTON BEACH FL
33426-4366
US

V. Phone/Fax

Practice location:
  • Phone: 410-952-8445
  • Fax:
Mailing address:
  • Phone: 410-952-8445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: