Healthcare Provider Details

I. General information

NPI: 1811284995
Provider Name (Legal Business Name): CATHERINE M. CAUSEY, PH,D,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 SEARS AVE STE 269
LOUISVILLE KY
40207-5062
US

IV. Provider business mailing address

173 SEARS AVE STE 269
LOUISVILLE KY
40207-5062
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 TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0271
License Number StateKY

VIII. Authorized Official

Name: DR. CATHERINE M CAUSEY
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: PH.D.
Phone: 502-819-6263