Healthcare Provider Details

I. General information

NPI: 1679981609
Provider Name (Legal Business Name): LINDA CATHEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 10TH AVE STE 330
EUGENE OR
97401-3317
US

IV. Provider business mailing address

401 EAST 10TH AVE STE 330
EUGENE OR
97401-3357
US

V. Phone/Fax

Practice location:
  • Phone: 541-868-2004
  • Fax: 541-868-2003
Mailing address:
  • Phone: 541-868-2004
  • Fax: 541-868-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT0963
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: