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Provider Information for 1861427478


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Dr. CATHERINE WALDRON MFT


Sex: Female

NPI: 1861427478
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1861427478
Enumeration Date2006-07-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1885 THE ALAMEDA
SUITE 131
SAN JOSE, CA 95126-1744
United States

Phone: 408-829-4104 | Fax:408-248-6828
 
Primary Practice Address 1885 THE ALAMEDA
SUITE 131
SAN JOSE, CA 95126-1744
United States

Phone: 408-829-4104 | Fax:408-248-6828
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CA223903274United Behavioral Health
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA34988