Healthcare Provider Details
I. General information
NPI: 1215903489
Provider Name (Legal Business Name): CATHERINE MAHER CAHILL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 CORPORATE DR E
LANGHORNE PA
19047-8009
US
IV. Provider business mailing address
305 CORPORATE DR E
LANGHORNE PA
19047-8009
US
V. Phone/Fax
- Phone: 215-504-1368
- Fax: 215-504-1369
- Phone: 215-504-1368
- Fax: 215-504-1369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PS016441 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: