Provider Demographics
NPI:1306637038
Name:WAYMAN, CATHERINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:LMFT
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 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95712-0101
Mailing Address - Country:US
Mailing Address - Phone:949-293-8274
Mailing Address - Fax:
Practice Address - Street 1:18999 LARSEN RD
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-8036
Practice Address - Country:US
Practice Address - Phone:949-293-8274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist