Provider Demographics
NPI:1548470859
Name:MORELOCK, CATHERINE NICHOLE (PHD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:NICHOLE
Last Name:MORELOCK
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 1:2301 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412
Mailing Address - Country:US
Mailing Address - Phone:806-438-5096
Mailing Address - Fax:806-742-5033
Practice Address - Street 1:8008 SLIDE ROAD
Practice Address - Street 2:SUITE 17
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424
Practice Address - Country:US
Practice Address - Phone:806-438-5096
Practice Address - Fax:806-742-5033
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2008-06-20
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2008-06-20
Provider Licenses
StateLicense IDTaxonomies
TX5198106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist