Healthcare Provider Details

I. General information

NPI: 1255797213
Provider Name (Legal Business Name): CATHERINE ELIZABETH FAIG MIERS MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ELIZABETH FAIG MS, CGC

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 HARCOURT RD SUITE 300
INDIANAPOLIS IN
46260-2074
US

IV. Provider business mailing address

4650 W SUNSET BLVD # 90
LOS ANGELES CA
90027-6062
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-5243
  • Fax: 317-338-8244
Mailing address:
  • Phone: 323-376-0875
  • Fax: 323-361-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number74000101A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: