Provider Demographics
NPI:1144337973
Name:MURPHY, CATHERINE SMITH (MFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SMITH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:190 S ORCHARD AVE
Mailing Address - Street 2:SUITE A203
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-3647
Mailing Address - Country:US
Mailing Address - Phone:707-446-2950
Mailing Address - Fax:707-469-9574
Practice Address - Street 1:190 S ORCHARD AVE
Practice Address - Street 2:SUITE A203
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3647
Practice Address - Country:US
Practice Address - Phone:707-446-2950
Practice Address - Fax:707-469-9574
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 25078106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist