Provider Demographics
NPI:1528437654
Name:PHAM, CATHERINE CHAU (AUD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CHAU
Last Name:PHAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 PASEO JAQUITA
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-2206
Mailing Address - Country:US
Mailing Address - Phone:818-926-1315
Mailing Address - Fax:
Practice Address - Street 1:6127 PASEO JAQUITA
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-2206
Practice Address - Country:US
Practice Address - Phone:818-926-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3071231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist