Provider Demographics
NPI:1215903489
Name:CAHILL, CATHERINE MAHER (PSYD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MAHER
Last Name:CAHILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:MAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 CORPORATE DR E
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8009
Mailing Address - Country:US
Mailing Address - Phone:215-504-1368
Mailing Address - Fax:215-504-1369
Practice Address - Street 1:305 CORPORATE DR E
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8009
Practice Address - Country:US
Practice Address - Phone:215-504-1368
Practice Address - Fax:215-504-1369
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30423357Medicaid
NHRE8091Medicare ID - Type Unspecified