Provider Demographics
NPI:1962690651
Name:DELLA VALLE, CATHY N (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:N
Last Name:DELLA VALLE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:DELLA VALLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:14 COMMERCIAL BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6110
Mailing Address - Country:US
Mailing Address - Phone:415-250-8114
Mailing Address - Fax:415-250-8114
Practice Address - Street 1:14 COMMERCIAL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-6110
Practice Address - Country:US
Practice Address - Phone:415-250-8114
Practice Address - Fax:415-250-8114
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health