Provider Demographics
NPI:1285969527
Name:CUNDY, CATHERINE DIAN (MA LMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DIAN
Last Name:CUNDY
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 TEHAMA ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1615
Mailing Address - Country:US
Mailing Address - Phone:530-515-7946
Mailing Address - Fax:530-245-9188
Practice Address - Street 1:1640 TEHAMA ST
Practice Address - Street 2:SUITE C
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1681
Practice Address - Country:US
Practice Address - Phone:530-515-7946
Practice Address - Fax:530-241-5312
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51063106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist