Provider Demographics
NPI:1528169547
Name:CHEN, CATHERINE STEVENSON
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:STEVENSON
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:DENISE
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1721 W PLANO PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1721 W PLANO PKWY STE 107
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8633
Practice Address - Country:US
Practice Address - Phone:972-673-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24084103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical