Healthcare Provider Details

I. General information

NPI: 1235168170
Provider Name (Legal Business Name): CATHERINE C. MATTHEWS PH.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8408 SIX FORKS RD SUITE 102
RALEIGH NC
27615-3076
US

IV. Provider business mailing address

8408 SIX FORKS RD SUITE 102
RALEIGH NC
27615-3076
US

V. Phone/Fax

Practice location:
  • Phone: 919-841-1444
  • Fax: 919-841-5444
Mailing address:
  • Phone: 919-841-1444
  • Fax: 919-841-5444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1922
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1922
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1922
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1922
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1922
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1922
License Number StateNC

VIII. Authorized Official

Name: CATHY MATTHEWS
Title or Position: OWNER
Credential: PH.D.
Phone: 919-841-1444