Provider Demographics
NPI:1548360373
Name:ZEEHANDELAAR, CATHY M ONEILL (MFT)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:M ONEILL
Last Name:ZEEHANDELAAR
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99669
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92169-1669
Mailing Address - Country:US
Mailing Address - Phone:858-539-7300
Mailing Address - Fax:858-539-7305
Practice Address - Street 1:7816 IVANHOE AVE
Practice Address - Street 2:SECOND FLOOR -- 13
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4535
Practice Address - Country:US
Practice Address - Phone:858-539-7300
Practice Address - Fax:858-539-7305
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25071101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor