Provider Demographics
NPI:1386605293
Name:ABBOTT, CATHARINE ADELE (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:ADELE
Last Name:ABBOTT
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 1:7240 NW 129TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2544
Mailing Address - Country:US
Mailing Address - Phone:405-722-9969
Mailing Address - Fax:405-949-9321
Practice Address - Street 1:3832 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2820
Practice Address - Country:US
Practice Address - Phone:405-949-9322
Practice Address - Fax:405-949-9321
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist