Willkie, Catherine

Willkie, Catherine is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willkie, Catherine can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 20380 California

Profile Details

NPI number 1720169279
LBN Legal business name Willkie, Catherine
Credentials Licensed Psychologist (PSY)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720169279 NPPES
California Other ZZZ92076Z MEDICARE GROUP ID#
California Other PSY 20380 MEDICARE GROUP ID#
California Other ZZZ91892Z MEDICARE GROUP ID#
California Other ZZZ92073Z MEDICARE GROUP ID#
California Other ZZZ91891Z MEDICARE GROUP ID#

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