Provider Demographics
NPI:1699922690
Name:SANTIAGO, CATHERINE DECARLO (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:DECARLO
Last Name:SANTIAGO
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:DECARLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39520 MURRIETA HOT SPRINGS RD STE 219-10
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563
Mailing Address - Country:US
Mailing Address - Phone:858-576-1700
Mailing Address - Fax:
Practice Address - Street 1:39520 MURRIETA HOT SPRINGS RD STE 219-10
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:858-576-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24770103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent