Healthcare Provider Details
I. General information
NPI: 1891298717
Provider Name (Legal Business Name): DR. CATHERINE ELIZABETH PURCELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/16/2018
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 N HOWARD ST STE W
SPOKANE WA
99201-0508
US
IV. Provider business mailing address
100 N HOWARD ST STE W
SPOKANE WA
99201-0508
US
V. Phone/Fax
- Phone: 970-403-5613
- Fax: 970-723-4732
- Phone: 970-761-5149
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: