Healthcare Provider Details

I. General information

NPI: 1316130313
Provider Name (Legal Business Name): CATHERINE L. GIRAUD PH. D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 GREEN CAY
ST CROIX VI
00820
US

IV. Provider business mailing address

PO BOX 25023
ST CROIX VI
00824
US

V. Phone/Fax

Practice location:
  • Phone: 340-692-2367
  • Fax:
Mailing address:
  • Phone: 340-692-2367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1004408
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: