Provider Demographics
NPI:1316130313
Name:GIRAUD, CATHERINE L (PH D)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:GIRAUD
Suffix:
Gender:F
Credentials:PH D
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 25023
Mailing Address - Street 2:
Mailing Address - City:ST CROIX
Mailing Address - State:VI
Mailing Address - Zip Code:00824
Mailing Address - Country:US
Mailing Address - Phone:340-692-2367
Mailing Address - Fax:
Practice Address - Street 1:73 GREEN CAY
Practice Address - Street 2:
Practice Address - City:ST CROIX
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-692-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1004408101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor