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NPI Code Detail

MEDICARE: CATHERINE A GAW PSYD

MEDICARE: CATHERINE A GAW PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1546-57WI
2103TC0700XClinical Psychologist5487OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275632960
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE A GAW PSYD
Provider Business Mailing Address
First Line : 2785 SOM CENTER RD
Second Line :
City : WILLOUGHBY HILLS
State : OH
Zip : 44094-6501
Country : US
Telephone Number : 440-602-8601
Fax Number : 440-602-8619
Provider Business Practice Location Address
First Line : 2785 SOM CENTER RD
Second Line :
City : WILLOUGHBY HILLS
State : OH
Zip : 44094-6501
Country : US
Telephone Number : 440-602-8601
Fax Number : 440-602-8619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 11/23/2021

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Directions to “ CATHERINE A GAW PSYD” Practice Location

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