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General NPI Number Information
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NPI Number | 1659688265
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Entity Type | Organization
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Legal Business Name | CATHY E GATTUSO LCSW, P.C.
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 3103 BEE CAVE RD SUITE 125
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City | AUSTIN
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State | TX
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Zip | 78746
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Country | US
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Telephone | 512-327-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 BEE CAVE RD STE 125
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City | AUSTIN
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State | TX
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Zip | 78746-5523
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CATHY E GATTUSO
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Credential | LCSW
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Telephone | 512-327-9883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 03091
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License Number State | TX
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