Provider Demographics
NPI:1902076540
Name:SPAYD, CATHERINE SELTH (PHD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SELTH
Last Name:SPAYD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-1424
Mailing Address - Country:US
Mailing Address - Phone:814-693-0617
Mailing Address - Fax:814-317-0348
Practice Address - Street 1:841 3RD AVE
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-1424
Practice Address - Country:US
Practice Address - Phone:814-693-0617
Practice Address - Fax:814-317-0348
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006177L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01704924Medicaid
PA211350OtherUPMC
PA01704924Medicaid