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Individual
CATHERINE FUNK
Active
Individual
CATHERINE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
36554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328390501
—
TX
05
—
328390502
—
TX
Enumeration date
09/26/2013
Last updated
01/29/2015
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