Provider Demographics
NPI:1972574465
Name:CHARLEY, CATHERINE HART (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:HART
Last Name:CHARLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3115
Mailing Address - Country:US
Mailing Address - Phone:724-836-6824
Mailing Address - Fax:724-853-2456
Practice Address - Street 1:231 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3115
Practice Address - Country:US
Practice Address - Phone:724-836-6824
Practice Address - Fax:724-853-2456
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional