Healthcare Provider Details

I. General information

NPI: 1376540492
Provider Name (Legal Business Name): CATHERINE M CAUSEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12616 SANDERSTEAD TRCE
LOUISVILLE KY
40245-8470
US

IV. Provider business mailing address

12616 SANDERSTEAD TRCE
LOUISVILLE KY
40245-8470
US

V. Phone/Fax

Practice location:
  • Phone: 502-819-6263
  • Fax: 502-384-3016
Mailing address:
  • Phone: 502-819-6263
  • Fax: 502-384-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number39000052
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0271
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number105080
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: